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The Family VOICE Study (Value, Information, Community Support, and Experience): a randomized trial of family navigator services versus usual care for young children treated with antipsychotic medication
Investigator (PI): Reeves, Gloria
Performing Organization (PO): (Current): University of Maryland, School of Medicine, Department of Psychiatry, Division of Child and Adolescent Psychiatry / (410) 328-3522
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2013
Final Year: 2018
Record Source/Award ID: PCORI/997
Funding: Total Award Amount: $1,455,601
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: Family-centered mental health treatment of children values and supports the role of parents in their child's recovery. However, medications are often the primary focus in community treatment. Young children, even preschool-age youth, are increasingly being treated with antipsychotic medication for serious mood and behavior problems. This medication may be necessary to address safety issues (such as severe aggression), but it can cause serious side effects, such as obesity. Also, medication-only treatment does not follow recommended care for these types of problems. Psychosocial treatments (for example, programs that coach and empower parents to manage their child's difficult behaviors) are highly recommended as part of comprehensive (medication and psychosocial) child treatment. Parent involvement in psychosocial treatment has clear benefits for their child's mental health and, unlike medication, the effects can last long after treatment is completed. However, problems related to access (for example, long waiting lists) and use (for example, parent mistrust of mental health services) of services are common. Maryland, like other states, has developed a system to improve medication safety by reviewing health information about the child to determine if the treatment is appropriate. This review reduces unnecessary medication treatment and makes sure that children have adequate health screening before starting any treatment. Children who are approved for medication treatment have moderate-to-severe mental health problems, which supports their need for comprehensive (medication and psychosocial) treatment, instead of medication-only treatment. In this study, we are partnering with parents/family advocates, child-serving agencies, and health providers to develop a Family Navigator Service to link with this medication program. Family Navigators are individuals who have cared for their own child with mental illness. The navigators will support parents, provide information on psychosocial treatment options, and address barriers to using services. The goals of this program are to improve use of psychosocial services, and to improve parent empowerment, support, and satisfaction with their child's mental health treatment. We also expect that the Navigator Service will improve the child's overall mental health and reduce the likelihood that he/she will need a medication dose increase or another medication added over the initial treatment period. The Navigator Service will be provided for parents of public insured children who are 10 years old and have just been approved for antipsychotic medication treatment. The Navigator Services will be provided by phone, so this service can support families in both rural and urban settings. Our long-term goal is to develop a Family Navigator program that strongly supports family-centered treatment of children and can be used to help families in other underserved areas beyond Maryland.
MeSH Terms:
  • Antipsychotic Agents /*therapeutic use
  • Child
  • Family
  • Family Health
  • Health Services Accessibility
  • Humans
  • Maryland
  • Medically Underserved Area
  • Parents
  • Patient Navigation
  • Patient Safety
  • Patient-Centered Care
  • Peer Group
  • Psychotic Disorders /*drug therapy
  • Randomized Controlled Trials as Topic
  • Rural Population
  • Telemedicine
  • Urban Population
Country: United States
State: Maryland
Zip Code: 21201
UI: 20143360
CTgovId: NCT01804582
Project Status: Completed
Record History: ('2018: Project extended to 2018. 2017: Project extended to 2017.',)