[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"emergency-department-presentation\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:emergency-department-presentation":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,49],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":48},"100624566","supporting-caregivers-following-mental-health-emergency-department-visits-100624566",false,"NCT07411300","Supporting Caregivers Following Mental Health Emergency Department Visits","SCFMHEDV","Inclusion Criteria:\n\n* Participants are eligible for participation in the current study if they are parent\u002Fguardians of youth ages 10-17 who received a psychiatric evaluation in the ED for suicidal thoughts or behaviors and are being discharged with a safety plan\n\nExclusion Criteria:\n\n* Parents\u002Fguardians will be excluded from recruitment if the youth is in state custody, if they are not proficient in English or Spanish, if the patient is being admitted or transferred for medical or psychiatric hospital admission, or they are not willing to enroll in MyChart through the EMR. The investigators are also only enrolling one caregiver per patient. In other words, if a patient returns to the ED with a different caregiver, the investigators will not enroll the other caregiver.","ALL","10 Years","17 Years",{"count":20,"type":21},75,"ESTIMATED","INTERVENTIONAL",[24],"NA","The investigators plan to conduct a pilot hybrid effectiveness-implementation type 1 randomized controlled trial comparing 3 arms of varying follow-up intervention. Caregivers of youth ages 10-17 who present to the Lurie Children's Hospital ED with suicidal thoughts or behaviors (STBs) and are discharged with a safety plan will be included in the current study. Families will be randomized to receive either 1) treatment as usual, 2) follow-up phone calls, or 3) automatic electronic medical record (EMR) MyChart messages",[27,28,29],"Caregiver Participation","Emergency Department Presentation","Safety Plan",[31,32,33,34,35],"pediatric","randomized","caregivers","suicide","emergency department","RECRUITING","2026-02-11",{"date":39,"type":40},"2026-02-13","ACTUAL",{"date":42,"type":40},"2026-01-26",{"date":44,"type":21},"2026-08-31",{"name":46,"class":47},"Ann & Robert H Lurie Children's Hospital of Chicago","OTHER",1,{"id":50,"slug":51,"hasResults":11,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":55,"eligibilityCriteria":56,"healthyVolunteers":11,"sex":16,"minAge":57,"maxAge":4,"enrollmentInfo":58,"targetDuration":4,"studyType":22,"phases":60,"briefSummary":61,"conditions":62,"keywords":65,"overallStatus":76,"whyStopped":4,"lastUpdateSubmitDate":77,"lastUpdatePostDateStruct":78,"startDateStruct":80,"completionDateStruct":82,"leadSponsor":84,"locationsCount":5},"100610295","access-to-care-pilot-for-ed-presenting-head-and-neck-cancer-patients-enrich-hnc-100610295","NCT07225725","Access to Care Pilot for ED-Presenting Head and Neck Cancer Patients (ENRICH-HNC)","Community Health Support for Emergency Department-Presenting Head and Neck Cancer Patients: A Pilot to Improve Access to Timely Care","ENRICH-HNC","Inclusion Criteria\n\n* Age 18 years or older\n* Presentation to the emergency department (ED) with a new or suspected head and neck cancer (including oral cavity, oropharynx, hypopharynx, larynx, salivary gland, cutaneous, sinonasal, nasopharyngeal, thyroid, or metastatic disease with unknown primary)\n* Residence within the regional catchment area of participating UTHSC-affiliated hospitals (Methodist University Hospital or Regional One Health)\n* Ability to provide informed consent electronically using REDCap eConsent after ED discharge\n* Has a valid telephone number for post-discharge contact\n\nExclusion Criteria\n\n* Prior or ongoing established head and neck oncology care at the time of ED presentation\n* Currently receiving hospice or palliative-only care\n* Incarcerated individuals\n* Inability to complete electronic informed consent (e.g., lack of decisional capacity or inability to complete consent even with staff assistance)\n* Lacks reliable telephone access or is unable to be reached after three documented contact attempts by study staff\n* Non-English or non-Spanish speaking when interpreter services are unavailable\n* Expected survival less than four weeks, as determined by the treating clinical team","18 Years",{"count":59,"type":21},24,[24],"Patients diagnosed with head and neck cancer (HNC) after presenting to an emergency department (ED) often face significant delays in diagnosis and treatment. These patients are frequently younger, underinsured, and experience multiple socioeconomic and systems-level barriers to accessing timely cancer care. Delays of more than 30 days have been associated with worse outcomes, including higher recurrence rates and reduced survival.\n\nThis pilot study will evaluate the feasibility and early impact of a community-based navigation program designed to improve access to timely care for ED-presenting HNC patients. The study embeds trained Community Health Support Specialists (CHSS) from the Engaging Navigators to Reduce Inequities in Cancer Health (ENRICH) program into the ED-to-treatment pathway. After ED discharge, CHSS staff will contact participants by telephone or text message to identify barriers to care-such as transportation, insurance, housing, or communication challenges-and connect them with appropriate community or institutional resources.\n\nAll participants will receive the CHSS navigation intervention. Outcomes will be compared with a historical cohort of similar ED-presenting HNC patients treated prior to program implementation. The primary outcomes are time from ED discharge to diagnostic biopsy and time from ED discharge to initiation of definitive treatment. Secondary outcomes include feasibility, measured as the proportion of participants who complete CHSS navigation, and exploratory analyses of the types of barriers identified and resolved.\n\nFindings from this pilot will generate preliminary data to inform larger studies aimed at improving access, reducing disparities, and accelerating treatment for head and neck cancer patients who first present in the emergency setting.",[63,28,64],"Head and Neck Neoplasms","Head and Neck Cancer (H&N)",[66,67,68,69,70,71,72,73,74,75],"Emergency Department","Patient Navigation","Community Health Support","Health Equity","Cancer Care Access","Care Timeliness","Implementation Science","Engaging Navigators to Reduce Inequities in Cancer Health","ENRICH Program","Head and Neck Cancer","NOT_YET_RECRUITING","2026-01-20",{"date":79,"type":40},"2026-01-22",{"date":81,"type":21},"2026-02-01",{"date":83,"type":21},"2027-01-31",{"name":85,"class":47},"University of Tennessee"]