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NCT06145477Recruiting

Parenting for Tomorrow: A New Model for Supporting Preschool Children's Mental Health in Head Start

Johns Hopkins University

Start Date

11/15/2023

Completion Date

11/1/2028

Summary

Purpose of this study is to test the preliminary efficacy, acceptability, accessibility, cost, and sustainability of an innovative mental health treatment model for young children from low-income, under-resourced communities through a partnership with Head Start programs in urban and rural communities in Maryland.

Detailed Description

The purpose of the study is to test the preliminary efficacy, acceptability, accessibility, cost, and sustainability of an innovative, scalable model for improving young children's mental health services through a partnership with Head Start programs in urban and rural communities in Maryland. The study will use four transformational innovations for eliminating barriers to high quality mental health services for families of young children (2-5 years old) from low-income, under-resourced communities through a partnership with Head Start programs in urban and rural communities in Maryland: 1) test an adaptation of a validated group-based parenting skills and support program (Chicago Parent Program) developed in collaboration with African American and Hispanic parents from low-income communities, for use with individual families (CPPi) concerned about the participant's preschool children's mental health; 2) embed CPPi in a trusted community-based agency long committed to a 2-generation social service model of supporting families from low-income communities; 3) use human centered design strategies to co-create a CPPi referral and enrollment strategy with parents and staff that is welcoming, culturally appropriate, consistent with Head Start's service delivery processes, and eliminates the stigma associated with children receiving a psychiatric diagnosis (as is typically required for reimbursement in traditional child mental health settings); and 4) capitalize on the knowledge, experience, and holistic orientation of registered nurses (RNs) to implement CPPi in Head Start. Children's behavior problems collected at baseline and post-intervention data from the parent and teacher's perspectives. Parent satisfaction with CPPi is measured at post-intervention only.

Eligibility Criteria

Age Range: 18 years to 99 years

Inclusion Criteria: * Child is 2-5 years old, enrolled in Baltimore City Head Start (Baltimore City Mayor's Office on Child \& Family Success) or Head Start sites managed by Catholic Charities of MD * parent expresses concern about the child's behavior or need for parenting support * parent speaks English or Spanish * Parent age 18-99 years * Parent able to participate in virtual intervention sessions Exclusion Criteria: * Parent does not speak English or Spanish

Interventions

BEHAVIORAL

Chicago Parent Program - individualized for families (CPPi)

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Conditions

ParentingParenting Intervention

Locations

Johns Hopkins University

Baltimore, Maryland 21205

United States