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As part of a national youth mental health epidemic, with insufficient community services to assist youth with IDDs and less than half of U. S. mental health facilities delivering them, emergency departments' boarding rates for children with IDDs 2-3 times higher than peers without IDDs. This experimental group will be compared to two historical groups of youth from the RCHSD EHR: 16,000 youth with IDDs and psychogeriatric disorders, but no mention of MHCs or 24,000 youth with IDDs and psychiatric disorders, with no psychiatric history, and 2 40,000 youth with IDDs and psychosocial disorders. PGS will be developed and evaluated by the cohort of 150 youth and neuropsychiatric polygenic scores, as well as two groups of youth with IDDs and severe psychiatric disorders, and 2 1000 youth with IDDs and severe psychiatric disorders, respectively, with minimal or no psychiatric comorbidities, according to two groups of youth from the Simons Simplex Collection: 1 50 youth with IDDs and severe psychiado comorbidities and comorbidities, as psychiad psychiatric polygenic comorbidities and their effect sizes, as well as comorbidities, and juveniles from the Simons from the comorbidities and comorbidities and juveniles and juveniles, and comorbidities, and no comorbidities, and severe comorbidities, with no comorbidities, 1 psychiatric comorbidities, 2 comorbidities, and juveniles, comatric com.
Source link: https://clinicaltrials.gov/ct2/show/NCT05471232
Six schools specifically targeted to children with IDD who are enrolled in the Special School Districts in St. Louis, MO, will perform this research. Finally, the Association of University Centers for Disability will commission a national survey to families, teachers, and workers of the 67 University Centers for Excellence in Developmental Disabilities. To test the messages, a formal process for producing two types of messages will be developed using focus group results and consulting key stakeholders. At the six special school district schools, a cluster randomized adaptive clinical trial will then take place. Phase 2 will commence at 7 months after the schools are randomized to either the best message obtained from phase 1 or the best message plus an enhanced implementation approach. Phase 2 will begin at 7 months after these schools are randomized to either the highest message derived from phase 1 or best message plus an enhanced implementation plan. The second aim will investigate the national views of parents of children with IDD and school teachers regarding the effects of COVID-19 and the benefits of SARS-CoV-2 testing. In-person sessions with parents from the schools in aim 1 and Kennedy Krieger Institute/Sheppard Pratt schools in Baltimore, MD, for children with IDD will be included in FCM's in-person sessions. Psychological Stress Associated with the COVID-19 Crisis Scale and COVID-19 impact questionnaires are among the studies that were used.
Source link: https://clinicaltrials.gov/ct2/show/NCT04565509
Integrated behavioral health care coordination, in which care coordinators and behavioral health specialists collaborate to provide integrated, cost-effective, patient-centered care, is an effective way to increase access to behavioral health services and address issues that contribute to adulthood transition, including depression/anxiety disorders. The Coordination of CarE for Complex Kids, a behavioral health risk classification and intervention delivery service that was developed for integration into care coordination services, such as MCHB care coordination, and launched under Centers for Medicare and Medicaid Healthcare Innovation Award & Coordination. In comparison to standard care coordination, it's unknown if an integrated behavioral health care coordination scheme, such as MCHB care coordination plus CHECK, would be more effective and result in improved youth health and transition outcomes. Aims: This research is a two-arm randomized controlled trial to determine the comparable effectiveness of MCHB Care Coordination alone and MCHB Care Coordination Plus CHECK in: reducing symptoms and episodes of depression and anxiety among youth with I/DD; improving health services; improving coordination among stakeholders at various levels; and increasing engagement and satisfaction with care coordination among stakeholders throughout multiple dimensions. MCHB care coordination and CHECK yields greater success in patient outcomes over time than MCHB care coordination alone.
Source link: https://clinicaltrials.gov/ct2/show/NCT05520983
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