Psychiatric Outreach Nurses Supporting Adolescent Mental Health
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age12-16
SponsorUniversity of Eastern Finland
About this trial
The study evaluates the effectiveness and cost-effectiveness of the outreach work of psychiatric registered nurses (RN) and the experiences of professionals in the field. The service is provided in school environment. First, the study will assess the effectiveness of brief interventions provided by psychiatric outreach nurses on the perceived mental health and quality of life of adolescents (12-16 year old pupils) and their use of social and health services, compared to the support/treatment provided by conventional student welfare services at 6 and 12 months follow-up. The intervention is an outreach service provided by psychiatric nurses. In the intervention, the psychiatric registered nurse will implement interventions such as usual care, discussion, psychoeducation, substance abuse skills and various methods (such as interpersonal psychotherapy = IPT-N and Cool Kids) and motivational interviewing.
Secondly, an economic evaluation of the service will be carried out at 6 and 12 months follow-up. The economic evaluation will be carried out from the perspective of the Wellbeing Services County, including the costs of implementing the intervention model and its effects on adolescents' use of student welfare services as well as other social and health services. Primarily, the economic evaluation will use quality-weighted life years as a measure of effectiveness. Also analysis using depression, anxiety and substance use measures will be conducted. Thirdly, the study will explore the experiences of psychiatric nurses implementing the service as well as the experiences of their collaborators in schools (public health nurses, school social workers, psychologists, doctors and teachers) about the service and its implementation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adolescents (12-16 years old) who seek help from student welfare services due to mood disorders and who have one or more of the following conditions: prolonged and/or complicated anxiety, mood symptoms, obsessive-compulsive and/or eating disorder symptoms, mild to moderate self-harm (e.g. death wishes or cutting). In addition, person's motivation to receive the service provided is an admission criterion.
Disqualifiers
Persons with one or more of the following needs or life situations: adolescents who need light support and guidance, young people with a single problem of low motivation for school, young people with a stressful life situation or relationship problems. On the other hand, adolescents who are in acute need of specialist care or for adolescents with multidisciplinary problems for whom support measures have already been put in place, because of their mental health symptoms (e.g. severe depression, psychotic symptoms, severe and acute suicidal tendencies or a clear suicide plan).
Exclusion criteria for the intervention and control groups also include situations where the adolescent has a long-lasting, already established mental health problem and/or a need for further treatment after a period of specialised hospital care.
Exclusion criteria also include behavioural disorders where there is a clear underlying cause other than a mental disorder.
Trial population
Adolescent (12-16 year old) students of secondary schools in the municipalities of North Savo Wellbeing County who seek help from student welfare services due to mood disorders.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Psychiatric outreach nurse service
BehavioralMental health service provided by psychiatric outreach nurses for 12-16 year old students in secondary schools
Treatment groups
160 Participants
are divided into 1 treatment groupGroup A: Adolescents with mood disorders seeking help in student welfare services1 intervention
Trial outcomes
Primary outcomes
1
Patient Health Questionnaire modified for adolescent to measure perceived mental health
The effects of the outreach psychiatric nurse service on adolescent's perceived mental health status assessed by the Patient Health Questionnaire modified for adolescent (PHQ-9-A) measure of depression in 6-month and 12-month follow-up. The minimum value of the measure is 0 and maximum value 27. Higher scores is worse outcome.
Time frame
6-month and 12-month follow-up2
Generalized Anxiety Disorder 7-item to measure adolescent's perceived mental health
The effects of the outreach psychiatric nurse service on adolescent's perceived mental health status assessed by the Generalized Anxiety Disorder 7-item (GAD-7) measure of anxiety in 6-month and 12-month follow-up. The minimum value of the measure is 0 and maximum value 21. Higher scores is worse outcome.
Time frame
6-month and 12-month follow-upSecondary outcomes
1
EuroQol-5-Dimension 3-Level modified for adolescent to measure perceived quality of life
The effects of the outreach psychiatric nurse service on adolescent's perceived quality of life and substance use assessed by EuroQol- 5-Dimension 3-Level modified for adolescent (EQ-5D-Y-3L) measure in 6-month and 12-month follow-up. EQ-5D-Y will be converted to index-values \[theoretical range 0-1\] by using suitable value set. The higher value means better health related quality of life.
Time frame
6-month and 12-month follow-up2
Adolescents' Substance Use Measurement to measure substance use
The effects of the outreach psychiatric nurse service on adolescent's substance use assessed by Adolescents' Substance Use Measurement (ADSUME) measure in 6-month and 12-month follow-up.The minimum value of the measure is 0 and maximum value 90. Higher scores is worse outcome
Time frame
6-month and 12-month follow-upSponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Eastern Finland
Lead sponsor
Wellbeing Services County of North Savo
Collaborator
The Foundation for Municipal Development
Collaborator
Source ClinicalTrials.gov