A 'navigator' model in emerging mental illness?
Peter J Bieling, Victoria Madsen, Robert B Zipursky
https://pubmed.ncbi.nlm.nih.gov/23889846Actively Recruiting
Led by University of Illinois at Chicago · Updated on 2025-02-21
154
Participants Needed
1
Research Sites
8 weeks
Total Duration
Researchers are evaluating a mental health navigation model aimed at African American and Latinx children aged 0 to 14 years living in high poverty urban areas. The study focuses on reducing key parental attitudes that act as barriers to care, addressing racial and ethnic disparities in children's mental health. This approach uses paraprofessional navigators who understand the community and compares their effectiveness to an active waitlist condition, aiming to improve access and engagement in behavioral health services. The study involves two groups: one where caregivers work with paraprofessional navigators who provide support to overcome logistical and attitudinal barriers to care, and one assigned to an active waitlist where staff periodically check in with families. The navigators receive in-person and virtual training including role-play and feedback. Two community boards guide the study, meeting regularly to support implementation and inform policy. Participants will be involved over an 18-month period post intake, with assessments at baseline, 6, 12, and 18 months. Data collection includes electronic medical records on service use, caregiver reports on navigator support and attitudes, and child and caregiver outcomes. Qualitative interviews with caregivers and navigators explore experiences and barriers. The study measures service initiation, engagement, social support, attitudes, empowerment, and mental health outcomes.
CONDITIONS
Patient Navigators for Children's Community Mental Health Services in High Poverty Urban Communities
You may qualify if you...
You will not qualify if you...
History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety
Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or virtual) to assess eligibility and interest in services
Duration - Up to 18 months
Participants assigned paraprofessional navigators receive support to reduce logistical and attitudinal barriers to accessing children's behavioral health services.
Ongoing in-person and virtual navigation contacts as needed throughout the study period
Duration - Up to 18 months
Participants on the active wait-list receive periodic check-ins by community agency intake staff to assess continued interest and provide resources.
Periodic check-in contacts during the wait-list period
Duration - 18 months
Participants complete assessments of child and caregiver outcomes at baseline, 6, 12, and 18 months post intake.
4 assessment visits (baseline, 6, 12, and 18 months) involving caregiver and therapist reports
Total: 1 location
1
University of Illinois at Chicago
Chicago, Illinois, United States, 60608
Actively Recruiting
T
Tara G Mehta, PhD
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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