TEAMS R34 #1 After-Action Reviews in Child Welfare Services

Part of paid clinical trials in San Diego, California.

Sponsor
University of California, San Diego
Study ID
NCT05629013
Status
Recruiting
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Conditions

  • Children, Adult
  • Mental Health Issue

Eligibility Criteria

Sex
ALL
Age
6 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • After-Action Review — BEHAVIORAL
    After-action reviews, or debriefs, are a relatively simple, inexpensive, and quick, tool to improve learning, performance, and the effectiveness of teams and individuals. After-action reviews are active self-learning processes wherein participants reflect on specific performance episode to actively engage in self-discovery and improve learning in a non-punitive/non-judgmental manner to result in enhanced performance. This proposal aims to apply the team effectiveness intervention of the after-action review (AAR) to the services intervention of the Child and Family Team (CFT) meetings currently used in the CWS.

Study Details

This project proposes to improve successful mental health service linkage in Child Welfare Services (CWS) by adapting and testing the After Action Review (AAR) team effectiveness intervention to augment the Child Family Team (CFT) services intervention. Despite being both required and a collaborative approach to service planning, CFT meetings are implemented with questionable fidelity and consistency, rarely including children and families as intended. By inclusion of child and family voice, the AAR-enhanced CFT should lead to increased fidelity to the CFT intervention and greater levels of parental satisfaction with the service and shared decision-making, thus resulting in enhanced follow-through with Action Plans and linkage to mental health care for children.

Key Dates

Start date
Jul 28, 2023
Status verified
Feb 2026
Primary completion
May 31, 2025
Completion
May 31, 2027

Study Design

Enrollment
320 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • No Intervention: Child Family Team (CFT) as Usual
    The CFT is a family meeting model that is an existing mechanism being implemented systemwide in San Diego County Child Welfare Services (CWS). Each child or youth is required to have a CFT meeting within sixty days of entering the CWS to identify areas of behavioral, emotional, or social needs, and to complete an initial case Action Plan.
  • Experimental: Child Family Team (CFT) with After Action Review (AAR)
    CFT is being augmented with the after-action review.

Primary Outcome Measure

Collaboration & Satisfaction About Care Decisions (CSACD) [ Time Frame: through study completion, ~9 months ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
UC San Diego - IN STEP Children's Mental Health Research CenterSan DiegoCalifornia92123
Marisa Sklar, PhD
[email protected]
8589667703
Gregory Aarons, PhD (PRINCIPAL_INVESTIGATOR)
Danielle Fettes, PhD (PRINCIPAL_INVESTIGATOR)

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By research site
UC San Diego - IN STEP Children's Mental Health Research Center· San Diego, CA

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