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Life sciences · Interventional Study
ClinicalTrials.gov · October 27, 2026
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Interventional Study.
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Registry record from ClinicalTrials.gov (NCT06600139). This is a study registration, not published results. Lead sponsor: Karolinska Institutet. Recruitment status: COMPLETED. Phase: NA. Study type: INTERVENTIONAL. Enrollment: 210 participants (ACTUAL). Conditions: Mental Disorder, Depression, Anxiety, Child Abuse, Child Neglect, Child Maltreatment. Interventions: BEHAVIORAL: The Collaboration-Screening-Referral (SSH) model. Primary outcome measures: Social workers: Change from baseline in clinical skill use related to assessing and assisting parents with mental health challenges , At baseline (before the training in SSH) and at 6-months follow-up; Social workers: Proportion of training completion , From baseline up to 6 months follow-up; Parents: The proportion of parents declining to complete the screening , At baseline. Brief summary: The main aim of this study is to evaluate the feasibility, preliminary effects and experiences of the Collaboration-Screening-Referral approach (CSR / in Swedish: Samverkan-Screening-Hänvisning - SSH) when used with parents referred to the Swedish child welfare services. The SSH is an approach including an online training and organizational working model to equip social services to screen parents for symptoms of mental illness using structured questionnaires, establish intra-agency collaboration, and refer to mental health services. Additionally, to increase social workers and confidence in assessing and handling mental illness through receiving training in the SSH and administering questionnaires to parents. The main questions the project aims to answer are: * Are parents engaged with child welfare services willing to undergo screening for symptoms of depression and anxiety? * Are the trial procedures and training included in the SSH-model feasible, in terms of acceptability, completion, and negative experiences? * How do parents and social workers experience the SSH? * Do social workers' clinical skill use, knowledge and confidence relevant to supporting parents with mental illness increase? Social workers answer questions before and after their training and after 6 and 12 months. Additionally, social workers and parents will be interviewed. Qualitative and quantitative within-group analyses will be conducted to examine experiences and preliminary effects of the SSH.