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Cognitive-Function Informed Outpatient Child and Youth Mental Healthcare

Sponsor: Children's Hospital of Eastern Ontario • ClinicalTrials.gov ID: NCT07842952

Registry updated: 2026-09-25

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Description

Cognitive Function Informed Care (CFIC) is a new, add-on type of care for mental health outpatients. To receive this type of care, a child/youth does something called a neuropsychological assessment, which are tests given by a special type of psychologist, called a neuropsychologist. These tests give the neuropsychologist information about how that child/youth's brain works, in a way that is unique to them. This information is called cognitive function, and it is shared with the patient and their family. This information is also shared with their mental health provider, who will work with the neuropsychologist to make sure that their treatment makes sense for their brain. One main purpose of this research is to see if it is better to receive information about cognitive function to help make treatment decisions (CFIC), or better to receive standard care without this information. To do this, participants will be randomly assigned to either receive CFIC or proceed with standard care. Between groups, we will be comparing any improvement(s) in overall function and symptoms. The other main purpose of this research is to evaluate how CFIC influences the outpatient mental health service (i.e., implementation). We will be monitoring how the service is delivered, documenting changes as needed, asking patients about their experience(s), surveying staff members and evaluating cost.

Interventions

Cognitive Function Informed Care (CFIC) (Other)
CFIC consists of three components: 1) Stepped Neuropsychological Assessment for every child or youth, which adapts to the individual's cognitive function needs and is recommended when integrating neuropsychological assessments into an existing practice ; 2) Brief Neuropsychological Testing Report completed by a neuropsychologist in the electronic health record (EHR) - these reports are concise and intended to highlight how the cognitive profile can be used to improve treatment, school and home function; 3) A meeting between the neuropsychologist and mental health provider to discuss and tailor treatment, summarized and documented in the EHR. Following the stepped neuropsychological assessment, there are two ways that CFIC can tailor treatment for an individual. First is an adjustment to the type of psychotherapy planned. The second is by is by optimizing the provider-patient communication and relationship, using information about learning/communication styles.
Standard Care (in control arm) (Other)
Participants will meet with their mental health provider as planned. Treatment will be delivered in accordance with standard practice. Neuropsychological assessment results will not be shared with the mental health provider.

Eligibility criteria

Inclusion Criteria: * Children and Youth: At least 7 but no more than 17 years of age at enrollment. * Referred by the initial CHEO Outpatient MH clinician (the Choice clinician) to an individual Outpatient MH provider (an Individual Partnership provider). Parents/Caregivers: \- The parent/guardian/caregiver of a child or youth meeting the above criteria Mental Health Staff: * Partnership-level providers involved in delivering CFIC to children/youth in CHEO's Outpatient MH Service. * Administrative leaders (i.e, Medical Lead, Clinical Lead, Manager, MH Program Director, Chief of Psychiatry) for CHEO's Outpatient MH Team. Exclusion Criteria: * Younger than 7 years of age or older than 18 years at initial CHEO Outpatient MH appointment. * Referred to any non-individual provider appointment by the initial CHEO Outpatient MH clinician (the Choice clinician); this includes referral to providers administering group or Rapid Response Team care. * Does not understand English or French. Parents/Caregivers: * The adults responsible for any child or youth in the situations described above. * Does not understand English or French. Mental Health Staff: \- Providers not involved in delivering CFIC to children/youth as part of CHEO's Outpatient Mental Health Service.

Conditions

Mental Health Care Mental Health in Elementary School Children Mental Health Conditions Mental Health Difficulties Mental Health Disorders in Adolescents Mental Health Issues

Locations

Children's Hospital of Eastern Ontario — Ottawa, Ontario, Canada

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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