In a prior application (MH064372), the investigators' treatment research program (Services for Kids In Primary-care, SKIP) developed and tested a chronic care model-based intervention, called Doctor Office Collaborative Care (DOCC), that was found to be effective in the management of childhood behavior problems and comorbid ADHD. In the "SKIP for PA Study", the investigators propose to conduct a randomized clinical trial to evaluate the effects of team- and practice leadership-level implementation strategies designed to enhance the use and uptake of DOCC in diverse pediatric primary care offices.
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Total number of DOCC encounters
Timeframe: Throughout services after each contact, up to 12 months
Care management competencies and functions
Timeframe: At provider baseline
Change from baseline in care management competencies and functions at 6 months
Timeframe: 6 months after provider baseline
Change from baseline in care management competencies and functions at 12 months
Timeframe: 12 months after provider baseline
Change from baseline in care management competencies and functions at 18 months
Timeframe: 18 months after provider baseline
Change from baseline in care management competencies and functions at 24 months
Timeframe: 24 months after provider baseline
Severity of ADHD, ODD, CD, and ANX/DEP symptoms at home and in community
Timeframe: At caregiver baseline
Change from baseline in severity of ADHD, ODD, CD, and ANX/DEP symptoms at home and in community at 3 months
Timeframe: 3 months after caregiver baseline
Change from baseline in severity of ADHD, ODD, CD, and ANX/DEP symptoms at home and in community at 6 months
Timeframe: 6 months after caregiver baseline
Change from baseline in severity of ADHD, ODD, CD, and ANX/DEP symptoms at home and in community at 12 months
Timeframe: 12 months after caregiver baseline
Severity of ADHD, ODD/CD, and ANX/DEP symptoms at school
Timeframe: At teacher baseline
Change from baseline in severity of ADHD, ODD/CD, and ANX/DEP symptoms at school at 3 months
Timeframe: 3 months after teacher baseline
Change from baseline in severity of ADHD, ODD/CD, and ANX/DEP symptoms at school at 6 months
Timeframe: 6 months after teacher baseline
Change from baseline in severity of ADHD, ODD/CD, and ANX/DEP symptoms at school at 12 months
Timeframe: 12 months after teacher baseline
Pediatric Health Quality
Timeframe: At caregiver baseline
Change from baseline in Pediatric Health Quality at 3 months
Timeframe: 3 months after caregiver baseline
Change from baseline in Pediatric Health Quality at 3 months
Timeframe: 6 months after caregiver baseline
Change from baseline in Pediatric Health Quality at 12 months
Timeframe: 12 months after caregiver baseline
Professional perceptions of study experiences at 18 months
Timeframe: 18 months after professional baseline