About this trial
We propose to conduct research on strategies that support the successful scale-up of an evidence-based, suicidal risk and behavior identification and cross-system linkage programs for justice-involved youth (e-Connect), and to rigorously evaluate the implementation activities and associated costs that support that scale-up of e-Connect within 9 Indiana counties. Guided by the GPM and EPIS frameworks, this 4-year study will comprise 3 project phases: (1) Scale-Up Strategy Efforts, focused on preparing for scale-up; (2) e-Connect-scaleup implementation (2a Exploration and Preparation and 2b Implementation and Sustainment); and (3) Scale-Up Effectiveness Trial/Outcome Evaluation. The current project draws on lessons learned from the e-Connect efficacy trial in NYS and research team leadership will serve as External Facilitators to support 9 Local Facilitators to ensure the successful transfer of knowledge, skill and expertise in delivering e-Connect in a new JJ system and geographic context, utilizing implementation strategies to support the more widespread, sustained and rigorous adoption of e-Connect. The study will include a learning community created by External Facilitators for Local Facilitators to provide support, to exchange strategies to handle implementation issues, to develop competencies in facilitation, and to guide implementation throughout the program. The learning community will help Local Facilitators navigate through the implementation stages of the study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All probation agency leadership and officers employed by the partnering sites who are (a) at least 18 years of age and (b) conversant in English in participating study counties are eligible
Disqualifiers
There are no exclusionary criteria and no special classes of participants.
All treatment staff (agency directors, supervisors and clinical line staff) employed by participating treatment agencies who are at least 18 years of age and conversant in English in participating study counties will be asked to participate
There are no exclusionary criteria and no special classes of participants.
All county/local Justice Diversion Alternatives Initiative (JDAI) representatives that work with partnering sites who (a) are at least 18 years of age and (b) conversant in English in participating study counties are eligible
Trial design
Sequential
Treatments tested in this trial
e-Connect
BehavioralImplementation of the e-Connect system
Treatment groups
Trial outcomes
Primary outcomes
Treatment initiation
Date of first behavioral health appointment/contact; extracted from Indiana Probation management information system (MIS)
Secondary outcomes
Treatment engagement
\# of weeks in treatment, via termination date; extracted from MIS, Medicaid data
Screen/Identify Youth Service Need
Via e-Connect system and recorded in Caseload Explorer: YASI Orbis, Chestnut Information indicates whether screening has occurred; Extracted from MIS
Cross-system Referral
Indicated by Referral Date; extracted from MIS
Uptake Adoption of e-Connect system
Acceptability, uptake and sustainability of e-Connect (BH and JJ staff; External and Local facilitators
Other outcomes
Suicidal Behavior, Non-Suicidal Self-Injury (NSSI), BH knowledge
Measured during pre-post quizzes following web-based training modules; developed for study
Perceived importance of screening and referral to BH - Exploration Phase services
Subscales for screening - Measure assessing perceived importance of activities associated with screening, referral and linkage - developed by JJTRIALS research cooperative.
Sponsors and contacts
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New York State Psychiatric Institute
Lead sponsor
Indiana University
Collaborator
George Mason University
Collaborator
Chestnut Health Systems
Collaborator
National Institute of Mental Health (NIMH)
Collaborator
Columbia University
Collaborator