e-Connect: A Service System Intervention for Justice Youth at Risk for Suicide

Part of paid clinical trials in New York, New York.

Sponsor
Columbia University
Study ID
NCT03586895
Status
Recruiting
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Conditions

  • Suicide

Eligibility Criteria

Sex
ALL
Age
10 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • e-Connect — BEHAVIORAL
    e-Connect

Study Details

The investigators propose to create e-Connect, a new service delivery model that will enable real time identification and targeted, county-specific referral and linkage of participants with suicidal behavior (SB) and related behavioral health (BH) problems. e-Connect will: (i) establish and formalize interagency referral decisions based on clinical need, jointly derived by JJ (juvenile justice) and BH agencies; (ii) train probation staff to increase BH/SB understanding; (iii) utilize an existing evidence-based (EB) BH/SB screen; and (iv) develop a mobile application to seamlessly integrate screening, classification of clinical need and development of a related referral plan. There are 4 project phases: Development, Baseline, Implementation, and Sustainment/Evaluation. After development, activities take place in 10 NY (New York) counties and all study counties will begin the intervention at the same time. The investigators will examine changes in outcomes (e.g., service use) relative to baseline in (i) identification of participants service need (SB and BH correlates) in juvenile probationers; (ii) cross-system (probation-BH agency) referral; and (iii) participants BH service use (access and engagement). Analyses will further consider contributions of multi-level factors (e.g., staff, organizational, family, and community) that influence implementation (feasibility, acceptability, sustainability) of e-Connect across various probation department processing categories (e.g. status offenders, diversion cases). The investigators will consider the role of mediating elements (e.g., probation practices) in explaining the association between e-Connect and identification, referral, and service use.

Key Dates

Start date
Aug 1, 2019
Status verified
Jun 2025
Primary completion
Jun 30, 2025
Completion
Dec 1, 2025

Study Design

Enrollment
12,838 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
PREVENTION

Arms

  • Experimental: e-Connect
    County receives training and materials and subsequently begins the e-Connect intervention
  • No Intervention: Standard of care
    Counties use the standard of care and there is no intervention in practices.

Primary Outcome Measure

Behavioral health treatment initiation [ Time Frame: Monthly in years 2- 5 ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Columbia UniversityNew YorkNew York10032
Katherine Elkington, PhD
[email protected]
917-838-1871

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By research site
Columbia University· New York, NY

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