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BEhavioral Health Stratified Treatment (B.E.S.T.) to optimize transition to adulthood for youth with intellectual and/or developmental disabilities.
Berg, Kristin L; Mihaila, Iulia; Feinstein, Rebecca T; Shiu, Cheng-Shi; Gussin, Helene; Acharya, Kruti; Gladstone, Tracy R G; Bernard, Leah; Best, Megan; Renz, Ellie; Abdallah, Ghada; Weldy, Sarah; Herrman, Deana; Lynch, Emma; Gerges, Michael; Perez, Patricia; Buchholz, Katherine R; Msall, Michael; Aaron, Suzanne; Mutti, Megan; Arnold, Catherine; Danguilan, Chris; Argueta, Isai; Hunter, Madeline; Pela, Emily; Diviak, Kathleen; Kuhn, Jocelyn; Berbaum, Michael L; Van Voorhees, Benjamin W.
Afiliación
  • Berg KL; Department of Disability and Human Development, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA. Electronic address: Kberg2@uic.edu.
  • Mihaila I; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Feinstein RT; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Shiu CS; University of California Los Angeles, Los Angeles, CA 90095, USA.
  • Gussin H; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Acharya K; Department of Disability and Human Development, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Gladstone TRG; Wellesley Centers for Women, Wellesley College, Wellesley, MA 02481, USA; Brown University, Providence, RI, 02912, USA.
  • Bernard L; Department of Disability and Human Development, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Best M; University of Illinois, Urbana-Champaign, Champaign, IL 61820, United States of America.
  • Renz E; Department of Disability and Human Development, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Abdallah G; University of Illinois, Urbana-Champaign, Champaign, IL 61820, United States of America.
  • Weldy S; Department of Disability and Human Development, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Herrman D; Northern Illinois University College of Allied Health and Communicative Disorders, USA.
  • Lynch E; The University of Chicago, Chicago, IL 60637, USA.
  • Gerges M; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Perez P; The University of Illinois Division of Specialized Care for Children, Chicago, IL 60607, USA.
  • Buchholz KR; Wellesley Centers for Women, Wellesley College, Wellesley, MA 02481, USA.
  • Msall M; The University of Chicago, Chicago, IL 60637, USA.
  • Aaron S; The Arc of Illinois, Mokena, IL 60448, USA.
  • Mutti M; The Arc of Illinois, Mokena, IL 60448, USA.
  • Arnold C; Department of Disability and Human Development, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Danguilan C; Department of Disability and Human Development, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Argueta I; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Hunter M; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
  • Pela E; Institute of Health Research and Policy, University of Illinois, Chicago, IL 60608, USA.
  • Diviak K; Institute of Health Research and Policy, University of Illinois, Chicago, IL 60608, USA.
  • Kuhn J; Emory University School of Medicine, Department of Pediatrics, USA.
  • Berbaum ML; Institute of Health Research and Policy, University of Illinois, Chicago, IL 60608, USA.
  • Van Voorhees BW; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
Contemp Clin Trials ; 136: 107374, 2024 Jan.
Article en En | MEDLINE | ID: mdl-37898308
Youth with intellectual and/or developmental disabilities (IDD) often struggle with depression and anxiety, which adversely impacts transition to adulthood. Integrated behavioral health care coordination, wherein care coordinators and behavioral health specialists collaborate to provide systematic, cost-effective, patient-centered care, is a promising strategy to improve access to behavioral health services and address factors that impact transition to adulthood, including depression/anxiety symptoms. Current care coordination models (e.g., Title V Maternal and Child Health Bureau [MCHB]) do not include behavioral health services. The CHECK (Coordinated HealthCarE for Complex Kids) mental health model, hereby refined and renamed BEhavioral Health Stratified Treatment (B.E.S.T.), is a behavioral health intervention delivery program designed for integration into care coordination programs. This study aims to determine whether an integrated behavioral health care coordination strategy (i.e., MCHB care coordination plus B.E.S.T.) would be more acceptable and lead to better youth health and transition outcomes, relative to standard care coordination (i.e., MCHB care coordination alone). Results would guide future investment in improving outcomes for youth with IDD. This study is a two-arm randomized clinical trial of 780 transition-aged youth with IDD (13-20 years) to evaluate the comparable efficacy of MCHB Care Coordination alone vs. MCHB Care Coordination plus B.E.S.T. on the following outcomes: 1) decreased symptoms and episodes of depression and anxiety over time; 2) improved health behaviors, adaptive functioning and health related quality of life; 3) increased health care transition (HCT) readiness; and 4) improved engagement and satisfaction with care coordination among stakeholders.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transición a la Atención de Adultos / Discapacidad Intelectual Límite: Adolescent / Adult / Humans Idioma: En Revista: Contemp Clin Trials Asunto de la revista: MEDICINA / TERAPEUTICA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transición a la Atención de Adultos / Discapacidad Intelectual Límite: Adolescent / Adult / Humans Idioma: En Revista: Contemp Clin Trials Asunto de la revista: MEDICINA / TERAPEUTICA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos