Applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol.
Marisa Sklar, Ryan Kenneally, Gregory A Aarons...
https://pubmed.ncbi.nlm.nih.gov/37798808Actively Recruiting
Phase Not Applicable
Age: 6Years +
All Genders
ID05629013
TEAMS R34 #1 After-Action Reviews in Child Welfare Services
Led by University of California, San Diego · Updated on 2026-02-05
320
Participants Needed
1
Research Sites
104 weeks
Total Duration
On this page
Sponsors
U
University of California, San Diego
Lead Sponsor
N
National Institute of Mental Health (NIMH)
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating ways to improve mental health service connections for children involved in Child Welfare Services (CWS). The study focuses on enhancing Child Family Team (CFT) meetings by adding an After Action Review (AAR) approach to better include children and families, aiming to increase satisfaction and shared decision-making. This project includes qualitative assessments and tailored interventions to address gaps in current services and improve team effectiveness. The study involves two groups: one receiving usual CFT meetings and another receiving CFT meetings enhanced with the After Action Review. CFT meetings identify behavioral, emotional, or social needs within 60 days of a child entering CWS and produce an Action Plan. The AAR is a team reflection process designed to improve learning and performance in a supportive, non-judgmental manner. The intervention is behavioral and focuses on improving the collaboration and fidelity of CFT services. Participants include CWS leaders, caseworkers, formal and informal CFT members, parents or caregivers of children aged 6 to 17 with open CWS cases, and children with identified mental health service needs. Data collection includes surveys measuring satisfaction, collaboration, team processes, and fidelity to the CFT model over about nine months. Researchers will also review administrative behavioral health data and various psychological and team effectiveness measures. The study aims to assess how well the AAR-enhanced CFT improves service linkage and decision-making.
CONDITIONS
Brief Title
TEAMS R34 #1 After-Action Reviews in Child Welfare Services
Who Can Participate
Age: 6Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Employed as a CWS leader or caseworker in one of the participating regions and plans to remain employed for at least six months
- Speaks English or Spanish
- Member of a Child Family Team with a participating caseworker (includes mental health providers, Court Appointed Special Advocates, educational representatives, and others)
- Parent or caregiver of a child aged 6-17 with an open Child Welfare Services case
- Initial Child Family Team meeting for the open case has not yet occurred
- Child aged 6-17 with an open Child Welfare Services case and identified mental health service needs via CANS screening
You will not qualify if you...
- Individuals who do not meet the inclusion criteria are not eligible to participate in this study
AI-Screening
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1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or virtual)
Outpatient Treatment
Duration - Up to 9 months
Participants engage in Child Family Team (CFT) meetings, with or without After-Action Reviews (AAR) to improve team effectiveness and care planning.
Multiple CFT meetings and AAR sessions as scheduled during case involvement
Trial Site Locations
Total: 1 location
1
UC San Diego - IN STEP Children's Mental Health Research Center
San Diego, California, United States, 92123
Actively Recruiting
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Research Team
M
Marisa Sklar, PhD.
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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