Improving Transitions in Care for Children and Youth With Mental Health Concerns

Summary

The overarching goal of this project is to improve timely access to appropriate mental health (MH) care for children and youth. The investigators will conduct and rigorously evaluate implementations of this pathway in four exemplar hospitals and associated CMHA dyads within a local health region. Outcomes-based validation of this pathway is important for effective adoption in other communities. A multiple baseline study design and conduct interrupted time-series analysis will be used to evaluate whether the EDMHCP has resulted in improved health care utilization, medical management, and health sector coordination. To ensure EDMHCP feasibility in various settings, implementation will occur in four exemplar hospital-community dyads with different workflows and patient populations.

Conditions

• Mental Health

Interventions

OTHER

Implementation Phase

Core Components of the implementation intervention include: * Hospital and CMHA project commitment * Site champion teams (from hospital and CMHA) * Memorandum of Agreement between Hospital and CMHA * Pre-intervention site visits * Education sessions * Posters/reminders * Instructional videos (HEADS ED video) Completed pathway implementation includes EDMHCP site-customization and committee approvals, consequent planning and agreements among ED-CMHA partners, delivery of at least two educational workshops, and EDMHCP availability in the ED. An 8-month period for EDMHCP implementation, with negotiated interim target dates was set for each site.

Sponsors & Collaborators

• Canadian Institutes of Health Research (CIHR)

  collaborator OTHER_GOV

• Ontario Ministry of Health and Long Term Care

  collaborator OTHER_GOV

• Winchester District Memorial Hospital

  collaborator OTHER

• Queensway Carleton Hospital

  collaborator OTHER

• Youth Services Bureau

  collaborator UNKNOWN

• Cornwall Community Hospital

  collaborator OTHER

• Children's Hospital of Eastern Ontario

  lead OTHER

Principal Investigators

• Mona Jabbour, MD · Children's Hospital of Eastern Ontario

Study Design

Allocation

NA

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

6 Years

Max Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2017-12-01

Primary Completion

2018-09-30

Completion

2019-12-31

Countries

• Canada

Study Locations