Partnerships Between Schools and Public Mental Health Departments: Investigation of Multi-professional Interventions for Children Aged 3 to 8 With Mental Health Issues (Parpsych-Ed) (Parpsych-Ed)

March 6, 2020 updated by: GCS pour la recherche et la formation en sante mentale

Partnerships Between Schools and Public Mental Health Departments: Investigation of Multi-professional Interventions for Children Aged 3 to 8 With Mental Health Issues (Parpsych-Ed).

Local partnerships between schools (preschool and elementary) and mental health public services are implemented in seven sites in France. They aim to improve recognition of difficulties related to mental health problems and to provide interventions to 3 to 8 years-old pupils in need. Our hypothesis that these local partnerships and interventions enhance the role of school in supporting good mental health and wellbeing of all children and the trajectories of children with mental health service needs. Theses also facilitate community support. One of them, early-interventions involve caregivers. Our objective is to enhance knowledge of the unmet mental healthcare need at school and to explore for whom, in which local context and how partnerships and early intervention work.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

Teachers are legitimately concerned about children that encounter mental health problems. Mental healthcare might be indicated. Because of internal and external barriers of treatment, they could remain inaccessible for many children in need. School staff should not try to diagnose conditions. However, collaborative interventions delivered by school and mental healthcare staffs in association with other stakeholders as parents and associations should ensure clear systems and processes in place for identifying possible mental health problems and support children and their parents. Local partnership and early interventions will be elaborated within focus groups bringing together all stakeholders and will be experimented in 7 French sites (preschool, primary school and local public health service) thereafter. These complex interventions will be evaluated through mixed-methods including qualitative case studies and a pragmatic trial. This feasibility study will produce a set of findings that will permit to argue conceptual framework of partnership and early intervention, to provide guidelines to implement these in France considering children needs, local context, all stakeholders acceptance and public health efficacy.

Study Type

Interventional

Enrollment (Anticipated)

2000

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

3 years to 8 years (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Attending pre- and elementary schools involved in the ParpsychEd partnerships.

Exclusion Criteria:

  • Absence of parents and/or child consent.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: Tracking of the children with difficulties
All parents and teachers will respond to the questionnaires and the beginning and end of school year which is not done in the routine for tracking the children in difficulty.
Behavioral: Questionnaires at the start and end of the school year
Interventions will be proposed to children identified in a worrisome situation. The Strengths and Difficulties. Questionnaire will be used by teachers to score these situations. The recognition process of mental health problem and need continue with responses. Responses are supporting a graduated response process in school and facilitating external support when needed (mental health services, community supports). Early intervention is one of all responses, which involve caregivers. Responses to worrisome situations aim to improve schooling conditions, to acknowledge mental health problems or condition and the health services need for children. To evaluate the intervention, the impact supplement of SDQ and the follow-up questions will be used by the teachers and the parents of children who benefit of the intervention. The interventions will be experimented during year 2020-21. Children might benefit of them from several weeks to one year, according to their need.
Other Names:
  • Questionnaires at the start and end of the school year completed by teachers and directors
  • Questionnaire before and after intervention completed by teachers and parents.
  • Questionnaires during and after the intervention, completed by public mental health professionals

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
number of 3 to 8 years old children identified with mental health services need
Time Frame: 24 months
Evolution of the number of 3 to 8 years old children identified with mental health services
24 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Strengths and Difficulties Questionnaire (SDQ)
Time Frame: 12 months
Changes in the impact supplement and the follow-up questions - parents and teachers
12 months
Healthcare access, barriers to treatment, intervention acceptance
Time Frame: 12 months
Healthcare access, barriers to treatment, intervention acceptance
12 months
Parent refusal rate to let their child benefit of all responses
Time Frame: 12 months
Parent refusal rate to let their child benefit of all responses
12 months
Parent refusal rate to let their child benefit of the early intervention
Time Frame: 12 months
Parent refusal rate to let their child benefit of the early intervention
12 months
Parents refusal rate to plan appointment in public health services as indicated after the intervention
Time Frame: 18 months
Parents refusal rate to plan appointment in public health services as indicated after the intervention
18 months
Mental health and mental health services representation and use
Time Frame: 18 months
Changes in the mental health representations of parents, teachers and others professionnals
18 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

GCS pour la recherche et la formation en sante mentale

Investigators

  • Study Director: Jean-Luc Roelandt, MD, French World Health Organization Collaborating Centre for Research and Training in Mental Health
  • Principal Investigator: Sandrine Bonneton, MD, French World Health Organization Collaborating Centre for Research and Training in Mental Health

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

September 1, 2020

Primary Completion (Anticipated)

December 31, 2021

Study Completion (Anticipated)

December 31, 2021

Study Registration Dates

First Submitted

May 10, 2019

First Submitted That Met QC Criteria

March 6, 2020

First Posted (Actual)

March 9, 2020

Study Record Updates

Last Update Posted (Actual)

March 9, 2020

Last Update Submitted That Met QC Criteria

March 6, 2020

Last Verified

March 1, 2020

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • Parpsych-Ed_2018

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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