Telephone-Based Care Coordination for Services Addressing Childhood Adversity

Summary

The goal of this study is to learn how telephone-based screening and care coordination impacts children experiencing adverse childhood events (ACEs). The main questions are:

1. Does telephone-based screening and care coordination for children experiencing ACEs increase child receipt of ACEs-related services?
2. Does telephone-based screening and care coordination for children experiencing ACEs improve parent health and wellbeing?
3. Does telephone-based screening and care coordination for children experiencing ACEs improve child social and emotional health?

Researchers will compare families who have been randomly selected to receive telephone-based screening and care coordination with those who will receive usual care at their clinic.

Participants will:

* Be randomly assigned to receive usual care or usual care plus telephone-based screening and care coordination (the intervention)
* If selected for the intervention, be connected to 211 Los Angeles to receive screening and care coordination for up to 6 months
* Complete four surveys via interview; surveys will be done at enrollment and 1 month, 6 months, and 12 months following enrollment
* Agree to allow researchers to review their child's medical records to collect information about their child's health, screenings, diagnoses, and referrals.

Conditions

• Health Services
• Mental Health
• Well-being

Interventions

BEHAVIORAL

Telephone-based Screening and Care Coordination

Once connected to the parent, the 211 LA Care Coordination specialist will administer ACEs screening over the phone using the PEARLS Part 1 and Part 2 questionnaire. Based on the ACEs screening results, 211 LA will provide information about and connection to relevant evaluations and services, with specific attention to mental health, child development, and material needs and services. The care coordinator specialist will stay in touch with the family (contacting families 1 or 2 times per month based on coordinator-assessed need) for up to 6 months, until the parent wishes to discontinue contact or the child is enrolled in all desired services.

Sponsors & Collaborators

• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

  collaborator NIH

• University of California, Los Angeles

  collaborator OTHER

• 211 Los Angeles

  collaborator UNKNOWN

• Northeast Valley Health Corporation

  collaborator UNKNOWN

• Paul Chung

  lead OTHER

Principal Investigators

• Paul J Chung, MD, MS · Kaiser Permanente Bernard J. Tyson School of Medicine

• Rebecca N Dudovitz, MD, MS · University of California, Los Angeles

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2026-07-01

Primary Completion

2030-03-31

Completion

2030-03-31