Synergy in Mental Health Care: Strengthening Collaborations in a Shared Care System for Child and Adolescent Psychiatry (DSPPea34).

Обзор

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.

Вмешательства

• Другое 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
• Другое 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

Первичные конечные точки

• Highlighting by the DELPHI method of the main facilitators of involvement in the DSPPea34 pathway, from successive rounds of proposal prioritization [Срок оценки: 3 months]

Вторичные конечные точки (7)

• Clinical Characterization at Baseline [Срок оценки: At program entry (Baseline)]
• Reason for referral to the program [Срок оценки: Baseline]
• Number of Requests and Referrals (DSPPea34 vs. Outside DSPPea34) [Срок оценки: Baseline]
• Number of Psychiatric Clinical Interviews within DSPPea34 [Срок оценки: At program entry (intake) to program completion (from 1 month to 12 months)]
• Number of Joint City-Hospital Follow-Ups [Срок оценки: At program entry (intake) to program completion (from 1 month to 12 months)]
• Number of Follow-Ups Coordinated by Primary Care [Срок оценки: At program entry (intake) to program completion (from 1 month to 12 months)]
• Youth Status at Program Exit [Срок оценки: At program entry (intake) to program completion (from 1 month to 12 months)]

Критерии участия

Критерии включения

• the professionals directly in contact with families or young people within the framework of DSPPea34 as well as users of DSPPea34

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения

Другое

Центры проведения

Франция · 1 центр

• CHU Montpellier - Réseau DSPPea34 de l'Hérault — Montpellier

Идентификаторы

NCT: NCT07429968 · RECHMPL24_0352

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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