After-Action Reviews in Child Welfare Services
This study is testing a new way to improve how mental health services are connected for children and families involved with Child Welfare Services (CWS). It uses something called "After-Action Reviews" (AARs), which are like debriefs where teams reflect on their work to learn and improve. The goal is to make sure that Child Family Team (CFT) meetings, which are meant to be collaborative, work better and include children and families more effectively. Researchers hope this will lead to families being more satisfied with services and better follow-through with plans to get mental health care for children. The study is looking for CWS leaders and caseworkers who plan to stay employed for at least six months. Success will be measured by how well teams collaborate, satisfaction with care decisions, and information from San Diego County Behavioral Health.
- Study design
- This is an interventional study, meaning participants will receive a specific intervention. It plans to enroll 320 participants, including adults and children aged 6 and older.
- What's involved
- Not specified in the trial record.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be followed through study completion, which is approximately 9 months, to measure collaboration, satisfaction, and team processes.
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TEAMS R34 #1 After-Action Reviews in Child Welfare Services
At a glance
Conditions
Where it's being run
1 sites across 1 statesWho to contact
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What this trial measures
- Collaboration & Satisfaction About Care Decisions (CSACD)through study completion, ~9 months
The 6-item collaboration subscale assesses collaboration, shared responsibilities for planning, open communication, and coordination. The 3-item satisfaction subscale assesses satisfaction with the decision-making process, and satisfaction with the decision itself. Although originally developed about care decisions for intensive care patients, it has since been used to measure collaboration and satisfaction with treatment planning plans associated with after-action reviews. Each participant will complete the CSACD immediately following their completion of the intervention (\<1 hour). Participants respond on a 7-point likert-type scale ranging from 1=strongly disagree to 7=strongly agree. Subscale scores are computed by calculating the average item response for items representing collaboration, and items representing satisfaction, respectively. Only including the subscales regarding satisfaction.
- San Diego (SD) County Behavioral Health Administrative Datathrough study completion, ~9 months
During the CFT meetings, behavioral health needs initially screened via the CANS assessment will likely be confirmed for many child/families with open CWS cases. For children/families with behavioral health treatment plans, SD County Behavioral Health Administrative Data will be assessed to determine successful service linkage.
- Mathieu Team Processes Scalethrough study completion, ~9 months
The 10 first-order constructs (e.g. strategy formulation, coordination, conflict management) map to three second order constructs (i.e. transition, action, and interpersonal). This measure will be administered to CFT+AAR participants immediately following completion of the CFT+AAR intervention (\<1 hour) to assess the team process of the CFT. Participants respond on a scale ranging from 1=Not at all to 5=to a very great extent, and scale scores are computed by calculating the average item response. Participants respond to questions regarding goal specification, strategy formulation, and coordination.