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CTRI Number  CTRI/2024/11/077384 [Registered on: 27/11/2024] Trial Registered Prospectively
Last Modified On: 13/11/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Screening
Behavioral 
Study Design  Single Arm Study 
Public Title of Study   Juveniles Accessing Mental Health Services: A novel method of enhancing the wellbeing of children in the Juvenile Justice System 
Scientific Title of Study   Juveniles Accessing Mental Health Services: Transition to Scale Project 
Trial Acronym  JAMS 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr R Padmavati 
Designation  Director  
Affiliation  Schizophrenia Research Foundation (India) 
Address  R/7A, North Main Road, Anna Nagar (west), Chennai

Chennai
TAMIL NADU
600101
India 
Phone  04426153971  
Fax    
Email  padmavati@scarfindia.org  
 
Details of Contact Person
Scientific Query  
Name  Dr R Padmavati 
Designation  Director  
Affiliation  Schizophrenia Research Foundation (India) 
Address  R/7A, North Main Road, Anna Nagar (west), Chennai

Chennai
TAMIL NADU
600101
India 
Phone  04426153971  
Fax    
Email  padmavati@scarfindia.org  
 
Details of Contact Person
Public Query  
Name  Dr Shiva Prakash Srinivasan 
Designation  Consultant Psychiatrist 
Affiliation  Schizophrenia Research Foundation (India) 
Address  R/7A, North Main Road, Anna Nagar (west), Chennai

Chennai
TAMIL NADU
600101
India 
Phone  04426153971  
Fax    
Email  shivaprakash@scarfindia.org  
 
Source of Monetary or Material Support  
Grand Challenges Canada, MaRS Centre, West Tower, 661 University Avenue, Suite 1720, Toronto, ON M5G 1M1 
 
Primary Sponsor  
Name  Grand Challenges Canada 
Address  MaRS Centre, West Tower 661 University Avenue, Suite 1720 Toronto, ON M5G 1M1 
Type of Sponsor  Other [International Funding Agency] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shiva Prakash Srinivasan  Schizophrenia Research Foundation (India)  Department of Youth Mental Health, R/7A, North Main Road, Anna Nagar (West)
Chennai
TAMIL NADU 		 9380055736

shivaprakash@scarfindia.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee of SCARF  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy Human Volunteers and screened individuals with identified disorders under ICD 10 classification Category F 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Development of Youth Friendly Spaces (YFS)  The YFS intends to provide a safe and friendly space for the children in the CCIs to learn about caring for their mental health and wellbeing and seek help when needed. Co-development of the space will involve the staff and management of the CCIs to determine the logistics of creating and running the space. Following this, children identified by the staff as being a positive influence on the other children and older children who volunteer to run the space will be trained in providing peer support. They will be tasked with negotiating with the staff and administration on running the YFS. The children and the staff will also be provided access to the YFS manual created during phase 1 of the JAMS project to engage the children in activities in the YFS. The Duration of said intervention will be monthly once for 12 months 
Intervention  Mental health literacy Training  We will identify master trainers from the government and non-governmental bodies. These master trainers will undergo detailed mental health literacy module training and deliver them to the other staff within their CCIs. The members of the DCPU and CWC will also deliver the modules to the staff from other CCIs. Implementing training through the ToT model ensures that staff change does not prove to be an obstacle to the programs sustainability. The total duration of this intervention will be for 6 sessions over a six week period 
Comparator Agent  Not Applicable  Not Applicable 
Intervention  Screening and Referral for Mental health services  In this component, the staff will be trained in the identification and assessment of mental health issues among children. They will also be provided with standardized screening tools and taught how to use them. A reference list of available local mental health services will be created. Additionally, we will scope the district for all available mental health services, including outpatient mental health providers and providers in the government system, so that the staff can access many providers. This will support further scaleup of the referral for mental health services. This will be done once at the beginning of the study. The referral service provision will be ongoing.  
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  - Children living in Childcare institutions registered under the Juvenile Justice (Care and Protection) Act of 2015
- Includes both Children in Need of Care and Protection and Children in Conflict with the Law 
 
ExclusionCriteria 
Details  - The children living in Childcare institutions which do not consent to participating in the study
- Children who do not provide assent to participate in the study 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Screen 650 children in CCIs
Train 40 master trainers across 8 districts in Tamil Nadu and Odisha
Improvement in wellbeing of children receiving intervention 		 Baseline and six months 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in social connectedness among children  Baseline and six months 
 
Target Sample Size   Total Sample Size="650"
Sample Size from India="650" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/12/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="5"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The Juveniles Accessing Mental health Services (JAMS) project was conceived and implemented between April 2021 to September 2023 by funding from the Grand Challenges Canada’s Proof of Concept funding. The JAMS Project, was specifically designed for children aged 12-18 in childcare institutions (CCIs). There is sufficient evidence that children in CCIs face multiple adversities and are prone to mental health problems. Despite this, these vulnerable children do not receive the appropriate knowledge to care for their mental health. This unique intervention empowers children and staff of CCIs with mental health knowledge, addressing not only mental health problems but also enhancing their positive mental health. A key component of the JAMS project is the creation and maintenance of Youth Friendly Spaces (YFS), which are safe environments within CCIs where children can learn and practice positive mental health skills in a non-judgmental fashion. The final component involves screening and referring children identified with mental health problems to appropriate mental health services.

The JAMS project, piloted in 7 CCIs across two states in India, has shown remarkable results. It has significantly improved the overall mental well-being of children in these CCIs. Children reported lower stress levels and appreciated the referrals for mental health services. Staff also noticed improvements in the children’s behavior and engagement with each other. This part of the project aims to expand the project to evaluate the sustainability and enhance the reach of the project to additional districts in the two states. 

 
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