TEAMS R34 #1 After-Action Reviews in Child Welfare Services
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: After-Action Review.
- Who it may be relevant to
- Registry conditions: Mental Health Issue, Children, Adult. Basic parameters: from 6 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This project proposes to improve successful mental health service linkage in Child Welfare Services (CWS) by adapting and testing the After Action Review (AAR) team effectiveness intervention to augment the Child Family Team (CFT) services intervention. Despite being both required and a collaborative approach to service planning, CFT meetings are implemented with questionable fidelity and consistency, rarely including children and families as intended. By inclusion of child and family voice, the AAR-enhanced CFT should lead to increased fidelity to the CFT intervention and greater levels of parental satisfaction with the service and shared decision-making, thus resulting in enhanced follow-through with Action Plans and linkage to mental health care for children.
Detailed description
The proposed project will address the following aims:
Aim 1. Conduct a qualitative needs assessment targeting the ongoing implementation of the CFT services intervention in a large, publicly funded, CWS. A qualitative inquiry consisting of interviews and focus groups with key stakeholders will result in the preparation of an action plan to address identified gaps between the current and desired CFT services intervention outcomes.
Aim 2. Adapt and tailor the AAR implementation strategy to address the CFT services intervention needs.
Aim 3. Assess mechanisms of the AAR team effectiveness intervention for CFT implementation.
Interventions
- Behavioral After-Action Review
After-action reviews, or debriefs, are a relatively simple, inexpensive, and quick, tool to improve learning, performance, and the effectiveness of teams and individuals. After-action reviews are active self-learning processes wherein participants reflect on specific performance episode to actively engage in self-discovery and improve learning in a non-punitive/non-judgmental manner to result in enhanced performance. This proposal aims to apply the team effectiveness intervention of the after-ac
Primary outcome measures
- Collaboration & Satisfaction About Care Decisions (CSACD) [Time frame: through study completion, ~9 months]
- San Diego (SD) County Behavioral Health Administrative Data [Time frame: through study completion, ~9 months]
- Mathieu Team Processes Scale [Time frame: through study completion, ~9 months]
Secondary outcome measures (7)
- Acceptability, Feasibility, and Appropriateness of Intervention Measure [Time frame: through study completion, ~9 months]
- Participant demographics professional characteristics [Time frame: through study completion, ~9 months]
- Card-Sorting Task [Time frame: through study completion, ~9 months]
- McAllister Affect-Based Trust [Time frame: through study completion, ~9 months]
- Psychological Safety [Time frame: through study completion, ~9 months]
- State-Wide CFT Fidelity Tool [Time frame: through study completion, ~9 months]
- Knoll and Van Dick Silence Measure [Time frame: through study completion, ~9 months]
Eligibility criteria
Inclusion criteria
Inclusion Criteria for CWS leaders and/or caseworkers
- (For leaders) Employed as one of several CWS leadership positions: CWS Director, CWS Deputy Director, CWS Regional Manager; (For caseworkers) Employed as a caseworker in one of the two participating regions for the proposed study.
- Plans to remain employed for at least six months beyond study initiation
- Speaks English or Spanish
Inclusion Criteria for formal and informal CFT members
- Member of CFT with one of the participating CWS caseworkers. CFT members can include mental health services provider, Court Appointed Special Advocate (CASA), educational representative, and other supports
- Speaks English or Spanish
Inclusion Criteria for parents/caregivers with active CWS cases
- Parent/caregiver of child aged 6-17 with an open CWS case
- Initial CFT meeting for open CWS case has not yet been held (Aim 3)
- Speaks English or Spanish
Inclusion Criteria for children with active CWS cases (for mental health service linkage data extraction only\*)
- Child aged 6-17 with an open CWS case
- Mental health services need/s (identified by the CWS caseworker via CANS screening in advance of the initial CFT meeting, during which consensus is reached regarding the Action Plan and service referral)
Exclusion criteria
Individuals who do not meet inclusion criteria are not eligible to participate in this study.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 1 center
- UC San Diego - IN STEP Children's Mental Health Research Center — San Diego
Publications
- Sklar M, Kenneally R, Aarons GA, Fettes DL. Applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol. Implement Sci Commun. 2023 Oct 5;4(1):121. doi: 10.1186/s43058-023-00479-3. PMID 37798808
Identifiers
NCT: NCT05629013 · 803821 · P50MH126231-01A1