NCT05629013

TEAMS R34 #1 After-Action Reviews in Child Welfare Services

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 320 (estimated)
• Sponsor: University of California, San Diego · Academic / Other
• Sex: All
• Age: 6 Years
• Healthy volunteers: Not accepted

Summary

This project proposes to improve successful mental health service linkage in Child Welfare Services (CWS) by adapting and testing the After Action Review (AAR) team effectiveness intervention to augment the Child Family Team (CFT) services intervention. Despite being both required and a collaborative approach to service planning, CFT meetings are implemented with questionable fidelity and consistency, rarely including children and families as intended. By inclusion of child and family voice, the AAR-enhanced CFT should lead to increased fidelity to the CFT intervention and greater levels of parental satisfaction with the service and shared decision-making, thus resulting in enhanced follow-through with Action Plans and linkage to mental health care for children.

Detailed description

The proposed project will address the following aims: Aim 1. Conduct a qualitative needs assessment targeting the ongoing implementation of the CFT services intervention in a large, publicly funded, CWS. A qualitative inquiry consisting of interviews and focus groups with key stakeholders will result in the preparation of an action plan to address identified gaps between the current and desired CFT services intervention outcomes. Aim 2. Adapt and tailor the AAR implementation strategy to address the CFT services intervention needs. Aim 3. Assess mechanisms of the AAR team effectiveness intervention for CFT implementation.

Conditions

• Mental Health Issue
• Children, Adult

Interventions

Type	Name	Description
BEHAVIORAL	After-Action Review	After-action reviews, or debriefs, are a relatively simple, inexpensive, and quick, tool to improve learning, performance, and the effectiveness of teams and individuals. After-action reviews are active self-learning processes wherein participants reflect on specific performance episode to actively engage in self-discovery and improve learning in a non-punitive/non-judgmental manner to result in enhanced performance. This proposal aims to apply the team effectiveness intervention of the after-action review (AAR) to the services intervention of the Child and Family Team (CFT) meetings currently used in the CWS.

Timeline

• Start date: 2023-07-28
• Primary completion: 2025-05-31
• Completion: 2027-05-31
• First posted: 2022-11-29
• Last updated: 2026-02-05

Locations

1 site across 1 country: United States