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Completed

NCT Number: NCT04440228

TeamSTEPPS in School Mental Health

Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based approach for teams that can be adapted for school mental health. TeamSTEPPS has been widely disseminated in health care settings with promising outcomes. TeamSTEPPS is designed to build competencies in the areas of leadership, situation monitoring, mutual support, and communication and has been associated with improvements in teamwork and communication as well as patient outcomes, such as decreased seclusion in psychiatric hospitals. This approach has yet to be extended as an implementation strategy in school or community mental health teams. If an evidence-based team approach like TeamSTEPPS can be successfully applied to school mental health teams, it could provide a cost-effective strategy for improving student mental health services and bolstering existing EBP implementation efforts, which to date generally have been insufficient in producing long-term clinician behavior change. In Aim 1 the investigators will capture key stakeholder perspectives about challenges in collocated school mental health services through formative work to inform collaborative planning and capacity building activities in Aim 2. Then, in Aim 2 the investigators will identify inter-organizational challenges and required components of TeamSTEPPS to adapt. The investigators will establish an advisory board and adapt TeamSTEPPS. The product of Aim 2 will be an adapted TeamSTEPPS, directed toward both school mental health and school-employed personnel, and specific, tailored implementation strategies to improve services in schools in conjunction with TeamSTEPPS. Finally, In Aim 3 the investigators will explore the feasibility, acceptability, and utility of TeamSTEPPS and the strategies generated in Aim 2 on inter-professional collaboration, teamwork, and student outcomes in eight schools.

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Key information

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Must be one of the following: mental health providers, teachers, leaders from schools (e.g., principals), leaders from community mental health agencies (i.e., executive directors, clinical supervisors), and leadership personnel from the payer or partner school district.

Exclusion criteria

  • There are no exclusion criteria proposed for school and agency-employed personnel. Participants will not be excluded given their gender, demographics, and/or past experience.

Treatment and study plan

TeamSTEPPS

Behavioral

TeamSTEPPS is an evidence-based approach for teams that can be adapted for school mental health.

Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), has been widely disseminated in health care settings with promising outcomes. TeamSTEPPS is designed to build competencies in the areas of leadership, situation monitoring, mutual support, and communication and has been associated with improvements in teamwork and communication as well as patient outcomes, such as decreased seclusion in psychiatric hospitals.

Primary outcomes

  1. Feasibility of Intervention Measure (FIM)

    Time frame: assessed immediately post-training in TeamSTEPPS (on average, 4 hours after completion of baseline measures)

    Reliable and validated 4-item tool to assess perceptions of the feasibility of an intervention (in this case, TeamSTEPPS training). Each item may be scored 1 = "completely disagree", 2 = "disagree", 3 = "neither agree nor disagree", 4 = "agree", or 5 = "completely agree." An overall mean score (possible score range from 1 to 5) across the 4 items is computed, where higher scores indicate more positive perceptions of intervention feasibility.

  2. Acceptability of Intervention Measure (AIM)

    Time frame: assessed immediately post-training in TeamSTEPPS (on average, 4 hours after completion of baseline measures)

    Reliable and validated 4-item observational tool to assess perceptions of the acceptability of an intervention (in this case, TeamSTEPPS training). Each item may be scored 1 = "completely disagree", 2 = "disagree", 3 = "neither agree nor disagree", 4 = "agree", or 5 = "completely agree." An overall mean score (possible score range from 1 to 5) across the 4 items is computed, where higher scores indicate greater perceptions of intervention acceptability.

Secondary outcomes

  1. Oxford Non-Technical Skills (NOTECHS) Scale

    Time frame: Assessed at baseline (i.e., on average, 1 week prior to training in TeamSTEPPS), immediately post-training in TeamSTEPPS (on average, 1 week after completion of baseline observation), and at 6- and 12-month follow-ups.

    Validated 4-item observational tool to assess teamwork and cognitive skills in teams. Items reflect team skills in leadership and management; teamwork and cooperation; problem-solving and decision making; and situational awareness. An observer codes team behavior in each domain using 3-5 items rated from 1 (Below Standard) to 4 (Excellent). An overall mean score, ranging from 1 to 4, is computed across items, where higher scores indicate stronger teamwork skills.

Other outcomes

  1. Expanded School Mental Health Collaboration Instrument (ESMHCI)

    Time frame: Assessed at baseline (i.e., pre-training in TeamSTEPPS) and and at 6- and 12-month follow-ups. Six- and 12-month follow-up scores were averaged to create a single follow-up score.

    59-item tool to assess perceptions of aspects of collaboration between school professionals and mental health professionals from collaborating agencies on a continuous scale. An average score is calculated, with higher scores indicating strengths and lower scores indicating areas to consider improving or targeting. Responses for all items on the scale are measured on one of two, four-point Likert-type scales (1 = never to 4 = often for items related to Types of Collaboration; and 1 = strongly disagree to 4 = strongly agree for items related to Influences on Collaboration and Perceived Benefits of Collaboration). A mean total score is computed, with possible scores ranging from 1 to 4, with higher scores indicating stronger collaboration.

  2. TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ)

    Time frame: Assessed at baseline (i.e., pre-training in TeamSTEPPS) and at 6- and 12-month follow-ups. Six- and 12-month follow-up scores were averaged to create a single follow-up score.

    Self-report measure of individual perceptions of group-level team skills and behavior. It is based upon the five core components of teamwork that comprise TeamSTEPPS, totaling 35 items. Items are rated continuously on a five-point scale from strongly disagree = 1 to strongly agree = 5. A mean total score is computed by averaging all items (possible score range = 1 to 5). Higher scores indicate more favorable perceptions of teamwork.

  3. TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ)

    Time frame: Assessed at baseline (i.e., pre-training in TeamSTEPPS) and at 6- and 12-month follow-ups. Six- and 12-month follow-up scores were averaged to create a single follow-up score.

    Self-report measure of individual attitudes related to the core components of teamwork captured within TeamSTEPPS. Six items measure each of the core teamwork constructs, for a total of 30 items. Items are rated continuously on a five-point scale from strongly disagree = 1 to strongly agree = 5. A mean total score is calculated across items with a possible score range of 1 to 5. Higher scores indicated more positive attitudes toward teamwork.

Sponsors and collaborators

Lead sponsor

University of Pennsylvania

Other

Registry information

Official study title

Adapting and Implementing TeamSTEPPS in School Mental Health

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Jun 19, 2020
Registry last updated
Nov 12, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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