Synergy in Mental Health Care: Strengthening Collaborations in a Shared Care System for Child and Adolescent Psychiatry (DSPPea34).
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: structured online questionnaire, descriptive analysis of patient characteristics and their care pathways, based on electronic medical records.
- Who it may be relevant to
- Registry conditions: DSPPea34, Young People Aged 6-18, Acute and Mild Psychological Disorders. Basic parameters: No limits · 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
- France
- 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
DSPPea34 (Shared Care Program for Children and Adolescents) is an experimental health program designed to provide rapid, guided care orientation for youth aged 6-18 when a first-line psychological follow-up is considered by a general practitioner or pediatrician. The program links hospital-based services and community providers by offering prompt contact and assessment by a registered nurse and/or psychiatrist, with structured feedback to the referring physician. Primary objective: To identify facilitators that support the engagement of all professionals involved in the care pathway of children and adolescents with psychological difficulties. Facilitators will be mapped across five stages of the pathway: (1) intake, (2) assessment, (3) orientation/referral, (4) inter-partner collaboration, and (5) discharge from the program. Results will be used to refine DSPPea34 specifications to inform broader implementation. Methods and study population (primary objective): A Delphi survey will be conducted with stakeholders directly interacting with families and youth within DSPPea34 (e.g., general practitioners (GP), pediatricians, program clinicians) as well as with program users. Secondary objectives and data sources: To describe (i) the sociodemographic and clinical characteristics of youth using DSPPea34 services and (ii) their care trajectories using quantitative methods. Data will be extracted from DSPPea34 records via the SPICO coordination file (the tool used to facilitate exchanges between the GP/pediatrician, DSPPea34, and the psychologist in charge of follow-up) and complemented by soliciting longitudinal outcome information from the referring physician based on DSPPea34 follow-up. Findings from this mixed-methods evaluation are expected to guide the optimization and potential scale-up of the DSPPea34 model.
Interventions
- Other structured online questionnaire
A structured, online Delphi survey conducted in up to three iterative rounds to co-develop and refine proposals related to the DSPPea34 specifications. Questionnaires are developed by study facilitators based on the initial DSPPea34 specifications and new proposals arising from the interim evaluation. Content and Response Format: Each round includes closed-ended items rated on a 9-point Likert scale (1 = strongly disagree; 9 = strongly agree) assessing both the content and the wording of each - Other descriptive analysis of patient characteristics and their care pathways, based on electronic medical records
Data collected from all users of the DSPPea34 program since its inception (approximately 1,200 cases) will include: * sociodemographic data (age, gender, living environment (urban, semi-urban, rural) * diagnosis at the end of the initial psychiatric assessment of the DSPPea34 program * referring physician * schooling (grade, mainstream or specialized environment) * existence of previous psychiatric or psychological follow-up * referrals by DSPPea34 staff and reasons (without collection of indiv
Primary outcome measures
- Highlighting by the DELPHI method of the main facilitators of involvement in the DSPPea34 pathway, from successive rounds of proposal prioritization [Time frame: 3 months]
Secondary outcome measures (7)
- Clinical Characterization at Baseline [Time frame: At program entry (Baseline)]
- Reason for referral to the program [Time frame: Baseline]
- Number of Requests and Referrals (DSPPea34 vs. Outside DSPPea34) [Time frame: Baseline]
- Number of Psychiatric Clinical Interviews within DSPPea34 [Time frame: At program entry (intake) to program completion (from 1 month to 12 months)]
- Number of Joint City-Hospital Follow-Ups [Time frame: At program entry (intake) to program completion (from 1 month to 12 months)]
- Number of Follow-Ups Coordinated by Primary Care [Time frame: At program entry (intake) to program completion (from 1 month to 12 months)]
- Youth Status at Program Exit [Time frame: At program entry (intake) to program completion (from 1 month to 12 months)]
Eligibility criteria
Inclusion criteria
- the professionals directly in contact with families or young people within the framework of DSPPea34 as well as users of DSPPea34
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Other
Study locations
France · 1 center
- CHU Montpellier - Réseau DSPPea34 de l'Hérault — Montpellier
Identifiers
NCT: NCT07429968 · RECHMPL24_0352