Integrated Collaborative Care Teams for Youth With Mental Health and/or Addiction Challenges (YouthCan IMPACT)

NCT02836080 · tracked via the Priya Life Science Canada tracker

Sponsor

Centre for Addiction and Mental Health

Phase

Not applicable

Started

2016-09

Last updated

2026-03-17

Condition(s) studied

Mental DisordersAddiction

Investigational drug(s) / intervention(s)

Integrated Collaborative Care Team (ICCT)Treatment as Usual (TAU)

Integrated Collaborative Care Team (ICCT): An integrated, collaborative pathway of needs-based services. ICCTs will offer a wide variety of services, including Solution-Focused Brief Therapy (SFBT) on a scheduled and walk-in basis, care navigators, various clinician-guided interventions, psychiatry, nurse practitioner services, access to primary care, and peer support, all co-located in youth-friendly, community-based clinics. For each intervention, standardized intervention protocols will be used.

Treatment as Usual (TAU): Standard out-patient treatment provided at each participating hospital site. This typically entails referral to a psychiatrist at the participating hospital, who will provide assessment and treatment, with referral to appropriate services, guided by local treatment protocols.

Study summary

Among youth, the prevalence of mental health and addiction (MHA) disorders is roughly 20%, yet youth are challenged to access services in a timely fashion. To address MHA system gaps, this study will test the benefits of an Integrated Collaborative Care Team (ICCT) model for at-risk youth with MHA challenges. In partnership with community agencies, adolescent psychiatry hospital departments, and family health teams, investigators have developed an innovative model of service provision involving rapid access to MHA services. This model will be implemented and compared to the usual treatment youth receive in hospital-based, outpatient, mental health clinics in Toronto. A rapid, systematic, approach to MHA services geared to need in a youth-friendly environment is expected to result in better MHA outcomes for youth. Moreover, the ICCT approach is expected to decrease service wait-times, be more youth- and family-centred, and be more cost-effective.

Eligibility

Sex

ALL

Min age

14 Years

Max age

18 Years

Healthy volunteers

Inclusion Criteria: 1. Provision of informed consent 2. Aged 14 - 17 years 11 months 3. New referrals to one of the four participating hospitals for out-patient MHA services 4. Among the population regularly accepted for out-patient services at that hospital Exclusion Criteria: 1. Referral for specialty forensic or firesetting treatment 2. Moderate to severe intellectual disability or autism without MHA problems 3. Primary diagnosis of an eating disorder 4. Active psychosis or imminent risk of self-harm requiring immediate intervention 5. Inability to read and write English or to consent to the study

Primary outcome measure(s)

Youth functioning — One year
Measured using the Columbia Impairment Scale (CIS)

Trial sites (5)

Facility	City	Region
North York General Hospital	Toronto	Ontario
Michael Garron Hospital	Toronto	Ontario
Sunnybrook Hospital	Toronto	Ontario
The Hospital for Sick Children	Toronto	Ontario
Centre for Addiction and Mental Health (CAMH)	Toronto	Ontario

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Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT02836080 on ClinicalTrials.gov ↗ ← All trials in Canada