Improving Mental Health Treatment for Individuals in Crisis Interacting With the Criminal-Legal System
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-100
SponsorCambridge Health Alliance
About this trial
The proposed Center will leverage burgeoning real-time data linkage capabilities among health systems, Medicaid payors, and criminal legal (e.g., jail booking data, jail release data) systems, to identify individuals coming in and out of jail for suicide assessment and prevention, and to better coordinate care across these disparate systems. This Center will advance the fields of suicide prevention and criminal legal system-based mental health by solving a well-known, central problem in both fields: the inability to track and intervene with individuals moving in and out of both and often multiple systems. The goal is near-term reductions in the U.S. suicide rate.
Eligibility criteria
Qualifiers
Treatment as Usual (TAU) arm
Cambridge Health Alliance (CHA) patients from the cities other than Cambridge considered to be in the "catchment area" of CHA (Everett, Chelsea, Somerville, Medford, Malden, and Winthrop)
Ages 18-100
Identified as having police involvement between 2009 and 2025. Treatment as Usual patients will be identified using "targeted limited chart review methods" used in our prior studies, "scraping" clinical notes in the Electronic Health Records for criminal legal involvement. Initial Identification terms, "police", "arrest", "court", "summons", "jail", and "crime" will be used to identify candidates for police involvement, downloading the sentence in which the keyword appeared and the sentence before and after. Next, an iterative process of editing of the search terms will be conducted to remove patients with negation of the keyword ("did not commit a crime"), and other sentence characteristics that generate false positives ("cardiac arrest"). Samples of the resulting dataset will be taken, accuracy assessed by examining the surrounding sentences, leading to further iterations and repetition of the process until a high level of accuracy is achieved.
Disqualifiers
Treatment as Usual (TAU) arm
Cambridge Health Alliance patients residing in the City Cambridge are excluded from the TAU arm
Under the age of 18
Individuals with no identified criminal legal system contact during the study time period (no criminal legal involvement found in the targeted limited chart review method).
Trial design
Treatments tested in this trial
- Treatment as usual (TAU)
- FSJS
- FSJS+Navigator Intervention
Treatment groups
1,040 Participants
are divided into 3 treatment groupsSponsors and collaborators
Cambridge Health Alliance
Lead sponsor
Michigan State University
Collaborator
Mount Auburn Hospital
Collaborator
Source ClinicalTrials.gov