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CCSchool: a multicentre, prospective study on improving continuum of care in children and adolescents with mental health problems associated with school problems in Germany.

Böge I, Herrmann J, Wolff JK, Hoffmann U, Kölch M, Kurepkat M, Lütte S, Naumann A, Nolting HD, Fegert JM (2018)

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Publication Status: Published

Publication Type: Journal article

Publication year: 2018

Journal

Book Volume: 18

Pages Range: 947

Journal Issue: 1

DOI: 10.1186/s12913-018-3713-6

Abstract

Most psychiatric disorders in childhood and adolescence cause impairment in academic performance. Early interventions in school are thought to reduce the burden of disorder and prevent chronicity of disorder, while a delay in reachable help may result in more severe symptoms upon first time presentation, often then causing upon first-time presentation immediate need of inpatient care.\nThe study aims at reducing hospitalization rates and increasing social participation and quality of life among children and adolescents by establishing collaborations between schools, mental health care services and youth welfare services. CCSchool offers children and adolescents, aged six to 18 years, who present with psychiatric problems associated to school problems, a standardized screening and diagnostic procedure as well as treatment in school if necessary. Students can participate in CCSchool in three federal states of Germany if they a) show symptoms vindicating a mental health diagnosis, b) present with confirmed school problems and c) have a level of general functioning below 70 on the children global assessment of Functioning (C-GAF). Intervention takes place in three steps: module A (expected n = 901, according to power calculation) with standardized diagnostic procedures; module B (expected n = 428) implies a school-based assessment followed by a first intervention; module C (expected n = 103) offering school-based interventions with either four to six sessions (basic, 80% of patients) or eight to 12 sessions (intensive, 20% of patients). Primary aim is to evaluate the effectiveness of CCSchool, in reducing the need of hospitalization in children with mental health problems. The analyses will be conducted by an independent institute using mainly data collected from patients and their caregivers during study participation. Additionally, claims data from statutory health insurances will be analysed. Relevant confounders will be controlled in all analyses.\nEvaluation may show if CCSchool can prevent hospitalizations, enhance social participation and improve quality of life of children and adolescents with mental health problems by providing early accessible interventions in the school setting.\nDeutsches Register Klinischer Studien, Trial registration number: DRKS00014838 , registered on 6th of June 2018.\nBACKGROUND\nMETHODS\nDISCUSSION\nTRIAL REGISTRATION

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APA:

Böge, I., Herrmann, J., Wolff, J.K., Hoffmann, U., Kölch, M., Kurepkat, M.,... Fegert, J.M. (2018). CCSchool: a multicentre, prospective study on improving continuum of care in children and adolescents with mental health problems associated with school problems in Germany. BMC Health Services Research, 18(1), 947. https://dx.doi.org/10.1186/s12913-018-3713-6

MLA:

Böge, Isabel, et al. "CCSchool: a multicentre, prospective study on improving continuum of care in children and adolescents with mental health problems associated with school problems in Germany." BMC Health Services Research 18.1 (2018): 947.

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