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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)

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ClinicalTrials.gov Identifier: NCT04300712
Recruitment Status : Not yet recruiting
First Posted : March 9, 2020
Last Update Posted : March 9, 2020
Sponsor:
Information provided by (Responsible Party):
GCS pour la recherche et la formation en sante mentale

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
School Difficulties Associated With Mental Health Problems Behavioral: Questionnaires at the start and end of the school year Not Applicable

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.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 2000 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Other
Official Title: 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).
Estimated Study Start Date : September 1, 2020
Estimated Primary Completion Date : December 31, 2021
Estimated Study Completion Date : December 31, 2021

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Mental Health

Arm Intervention/treatment
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




Primary Outcome Measures :
  1. 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


Secondary Outcome Measures :
  1. Strengths and Difficulties Questionnaire (SDQ) [ Time Frame: 12 months ]
    Changes in the impact supplement and the follow-up questions - parents and teachers

  2. Healthcare access, barriers to treatment, intervention acceptance [ Time Frame: 12 months ]
    Healthcare access, barriers to treatment, intervention acceptance

  3. 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

  4. 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

  5. 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

  6. 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



Information from the National Library of Medicine

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Ages Eligible for Study:   3 Years to 8 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

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

Exclusion Criteria:

  • Absence of parents and/or child consent.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04300712


Contacts
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Contact: Sandrine Bonneton, MD 0033157278458 bonnetonsandrine@gmail.com

Locations
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France
EPSM Barthélémy Durand
Grigny, Essone, France
EPSM de Guadeloupe
Saint-Claude, Guadeloupe, France
Contact: Caroll Devaux, MD       caroll.devaux@epsm-guadeloupe.fr   
EPSM Val de Lys
La Couture, Pas De Calais, France
Contact: Laurent Lauwerier, MD       llauwerier@epsm-stvenant.fr   
EPSM Val de Lys
Vieille chapelle, Pas De Calais, France
Contact: Laurent Lauwerier, MD       llauwerier@epsm-stvenant.fr   
Centre Hospitalier Sainte Anne
Paris, France
Contact: Marie-Odile Perouse de MontClos, MD       perousedemontclos@ch-sainte-anne.fr   
Sub-Investigator: Yann Cross, MD         
Fondation Bon Sauveur de la Manche
Picauville, France
Contact: Justine Levaillant       justine.levaillant@fbs50.fr   
Centre Hospitalier de Saint Denis
Saint-Denis, France
Contact: Jean-Pierre Benoit       jeanpierre.benoit@ch-stdenis.fr   
Sponsors and Collaborators
GCS pour la recherche et la formation en sante mentale
Investigators
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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
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Responsible Party: GCS pour la recherche et la formation en sante mentale
ClinicalTrials.gov Identifier: NCT04300712    
Other Study ID Numbers: Parpsych-Ed_2018
First Posted: March 9, 2020    Key Record Dates
Last Update Posted: March 9, 2020
Last Verified: March 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by GCS pour la recherche et la formation en sante mentale:
mental health
children psychiatry
school difficulties
psychosocial interventions