Scaling up e-Connect in Juvenile Probation Settings

ConditionSuicide
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age10+
SponsorNew York State Psychiatric Institute

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 volunteers

Qualifiers

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

Design model

Sequential

Treatments tested in this trial

  • e-Connect

    Behavioral

    Implementation of the e-Connect system

Treatment groups

3,629 Participants
are divided into 2 treatment groups
Group A: e-ConnectExperimental treatment 1 intervention
Group B: Standard of CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Treatment initiation

Date of first behavioral health appointment/contact; extracted from Indiana Probation management information system (MIS)

Time frame
3 years

Secondary outcomes

1

Treatment engagement

\# of weeks in treatment, via termination date; extracted from MIS, Medicaid data

Time frame
3 years
2

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

Time frame
3 years
3

Cross-system Referral

Indicated by Referral Date; extracted from MIS

Time frame
3 years
4

Uptake Adoption of e-Connect system

Acceptability, uptake and sustainability of e-Connect (BH and JJ staff; External and Local facilitators

Time frame
6 months

Other outcomes

1

Suicidal Behavior, Non-Suicidal Self-Injury (NSSI), BH knowledge

Measured during pre-post quizzes following web-based training modules; developed for study

Time frame
3 years
2

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.

Time frame
2 months

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