Adaptive Mentalization-Based Cross-Sector Support (My Avenue to HelP) for 12–17-year-olds with multiple problems

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

My Avenue to HelP (MAP) is a non-randomized feasibility project testing a one-year Adaptive Mentalization-Based Integrative Treatment (AMBIT) approach delivered by a coordinated network of professionals across sectors. MAP is not a new therapy but a new way of organizing and offering support around vulnerable youths with multiple social and psychiatric problems, compared with management as usual. The research includes two work packages, with WP1 focusing on feasibility questions such as recruitment and evaluation methods and WP2 addressing implementation outcomes over 2025–2027. Outcomes will emphasize practicality of delivering the model, engagement of youths and families, and preliminary signals of benefit rather than definitive clinical efficacy.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Criterium A) Documented record of multiple problems defined as at least 2 of the following: (i) Absence from school / non-adherence to education (ii) Risk behaviors like alcohol or cannabis abuse, or repeated suicide attempts or self-harm requiring somatic treatment.(iii) Repeated visits at emergency-, trauma-, or acute wards. And/or one of the following: (iv) Contact with police or legal justice system. (v) Homelessness within the last year.
* Criterium B) Age 12-17 years at time of inclusion.
* Criterium C) Strong indication of mental disorders defined as a diagnosis of a mental disorder. The type of mental disorders will be further substantiated using the DAWBA after recruitment (Goodman et al., 2000).
* Criterium D) Written/signed informed consent from all legal guardians (in most cases both parents) and oral consent from youths aged 15 years and older. Written/signed informed consent from the youths themselves will be collected when they turn 18 if they do so during the study period.

Exclusion Criteria:

* Indications of substantial intellectual disability corresponding to IQ below 50, or a level of daily and social functions that do not enable participation in research (e.g., if the young person is not deemed to have the capacity to understand the implications of the study and provide oral consent).
* Not living in Region Zealand.

Where it's running

• Child and Adolescent Psychiatric Department, Psychiatry Region Zealand
  Roskilde, Region Sjælland, Denmark Recruiting

Study contacts

• Principal investigator: Pia Jeppesen, Professor, MD — University of Copenhagen and head of the Research Department in the Child and Adolescent Mental Health Services, Region Zealand
• Study coordinator: Pia Jeppesen, Professor, MD
• Email: pijep@regionsjaelland.dk
• Phone: +45 58538002

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.