Evidence map›Paper›PMID 28167747›Full record

Trial reportBMJ open2017

Integrated collaborative care teams to enhance service delivery to youth with mental health and substance use challenges: protocol for a pragmatic randomised controlled trial.

Joanna L Henderson, Amy Cheung, Kristin Cleverley, Gloria Chaim, Myla E Moretti, Claire de Oliveira, Lisa D Hawke, Andrew R Willan, David O'Brien, Olivia Heffernan and 5 more

2 registry-linked trialsAbstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02836080 naactive not recruitingnot on this map

Integrated Collaborative Care Teams to Enhance Service Delivery to Youth With Mental Health and Substance Use Challenges: Protocol for a Pragmatic Randomized-controlled Trial

TypeinterventionalSponsorCentre for Addiction and Mental HealthRan2016 to 2026Enrolled247ConditionsMental Disorders, AddictionArmsIntegrated Collaborative Care Team (ICCT), Treatment as Usual (TAU)
NCT03919760 nacompletednot on this mapstarted 2020, after this paper: background citation

Enhancing Evidence-Based Practice for Youth and Emerging Adults With Early Psychosis: Implementation and Evaluation in Diverse Service Settings

TypeinterventionalSponsorCentre for Addiction and Mental HealthRan2020 to 2024Enrolled100ConditionsFirst Episode Psychosis, Schizophrenia, Childhood, Psychosis, SchizophreniaArmsNAVIGATE, Treatment as Usual
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  8. 'It reshaped how I will do research': A qualitative exploration of team members' experiences with youth and family engagement in a randomized controlled trial.Health expectations : an international journal of public participation in health care and health policy · 2021
    Trial
  9. Treatment Experiences of Individuals With Co-Occurring Mental Health and Substance Use Disorders and Perspectives of Mental Health Workers in Ashanti Region, Ghana.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  10. Article
  11. Measuring Goal Progress Using the Goal-Based Outcome Measure in Youth Wellness Hubs Ontario-An Integrated Youth Services Network.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. 'For Youth by Youth': Distributive Leadership in Action With a Youth Codesign Team.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  16. Article
  17. Article
  18. Leveraging integrated youth services for social prescribing: a case study of Youth Wellness Hubs Ontario.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024
    Article
  19. What do justice-involved youth want from integrated youth services? A conjoint analysis.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2024
    Article
  20. Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Joanna L HendersonCentre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada.ORCID 0000-0002-9387-5193
Amy CheungSunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Kristin CleverleyBloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Gloria ChaimCentre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada.
Myla E MorettiClinical Trials Unit, The Hospital for Sick Children, Toronto, Ontario, Canada.
Claire de OliveiraCentre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada.
Lisa D HawkeCentre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada.
Andrew R WillanSickKids Research Institute, Hospital for Sick Children, Toronto, Ontario, Canada.
David O'BrienEast Metro Youth Services, Scarborough, Ontario, Canada.
Olivia HeffernanCentre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada.
Tyson HerzogCentre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada.
Lynn CoureySashbear Foundation, Toronto, Ontario, Canada.
Heather McDonaldLOFT Community Services, Toronto, Ontario, Canada.
Enid GrantYouth and Families, Toronto, Ontario, Canada.
Peter SzatmariCentre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAmong youth, the prevalence of mental health and addiction (MHA) disorders is roughly 20%, yet youth are challenged to access evidence-based services in a timely fashion. To address MHA system gaps, this study tests the benefits of an Integrated Collaborative Care Team (ICCT) model for youth with MHA challenges. A rapid, stepped-care approach geared to need in a youth-friendly environment is expected to result in better youth MHA outcomes. Moreover, the ICCT approach is expected to decrease service wait-times, be more youth-friendly and family-friendly, and be more cost-effective, providing substantial public health benefits. METHODS AND ANALYSIS: In partnership with four community agencies, four adolescent psychiatry hospital departments, youth and family members with lived experience of MHA service use, and other stakeholders, we have developed an innovative model of collaborative, community-based service provision involving rapid access to needs-based MHA services. A total of 500 youth presenting for hospital-based, outpatient psychiatric service will be randomised to ICCT services or hospital-based treatment as usual, following a pragmatic randomised controlled trial design. The primary outcome variable will be the youth's functioning, assessed at intake, 6 months and 12 months. Secondary outcomes will include clinical change, youth/family satisfaction and perception of care, empowerment, engagement and the incremental cost-effectiveness ratio (ICER). Intent-to-treat analyses will be used on repeated-measures data, along with cost-effectiveness and cost-utility analyses, to determine intervention effectiveness. ETHICS AND DISSEMINATION: Research Ethics Board approval has been received from the Centre for Addiction and Mental Health, as well as institutional ethical approval from participating community sites. This study will be conducted according to Good Clinical Practice guidelines. Participants will provide informed consent prior to study participation and data confidentiality will be ensured. A data safety monitoring panel will monitor the study. Results will be disseminated through community and peer-reviewed academic channels. TRIAL REGISTRATION NUMBER: Clinicaltrials.gov NCT02836080.

Indexed as

AdolescentAdolescent Health ServicesAmbulatory CareBehavior TherapyCooperative BehaviorCost-Benefit AnalysisDelivery of Health Care, IntegratedFemaleHumansMaleMental Health ServicesOntarioPatient Care TeamResearch DesignSubstance-Related DisordersSurveys and QuestionnairesMENTAL HEALTHYOUTH

Identifiers

PMID28167747
PMCPMC5293997

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.