Needham, MA, United States

Center For Social Innovation, Llc

www.center4si.com
Needham, MA, United States
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Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase II | Award Amount: 1.73M | Year: 2014

DESCRIPTION provided by applicant Between and the Center for Social Innovation LLC C developed and evaluated a prototype of the Motivational Interviewing Simulator An Experiential Online Training Tool The interactive case based multiplayer web based game allows service providers to deepen their skills in Motivational Interviewing MI a widely recognized evidence based practice that supports people to make positive behavior changes related to health wellness mental illness and addiction Phase I study findings support the productandapos s feasibility and the need for a large scale randomized trial to determine the toolandapos s effectiveness During Phase I participants in the Simulator group showed significant improvements in MI skills as measured by Motivational Interviewing Treatment Integrity MITI scores percent improvement over baseline and Helpful Responses Questionnaire HRQ scores percent improvement over baseline both substantially higher than the rates of improvement for participants in the control groups This project represents Phase II of the work to further develop the MI Simulator and to study its impact on provider behavior and client outcomes Phase II will create multiple andquot play arenasandquot Single Player Two Player and Advanced Freeplay spaces and multiple case based scenarios related to mental health homelessness addiction and primary care The significantly expanded product will have wide appeal across a large workforce of providers serving vulnerable populations and it will support NIMHandapos s strategy of andquot closing the gap between the development of new research tested interventions and their widespread use by those most in need andquot The Phase II randomized controlled trial is guided by four specific aims Diversify the prototype Motivational Interviewing Simulator to meet the needs of a wider audience Evaluate the Simulator through a randomized controlled trial Disseminate Findings Prepare for Commercialization During Phase II of this study we will recruit providers from community agencies serving individuals who live in supportive housing many of whom have histories of mental illness addiction homelessness and medical problems After receiving a standardized two day onsite MI training participants will be randomized into one of three conditions MI Training Only MI Training eBook an online comparison with comparable information to the Simulator without the interactive elements or MI Training Simulator The longitudinal mixed method study will assess providersandapos acquisition and retention of MI knowledge and skills through surveys and coding of standardized client interviews barriers and facilitators of MI implementation via focus groups organizational level data via key informant interviews and site visits and client outcomes for clients through surveys administrative data and focus groups PUBLIC HEALTH RELEVANCE The Motivational Interviewing Simulator An Experiential Online Training Tool represents an innovative effort to match online simulation technology with the evidence based practice of Motivational Interviewing MI The MI Simulator is an interactive multiplayer learning tool for service providers It is designed to increase MI knowledge and skills ensure fidelity to the model and improve quality of care for vulnerable people by improving the clinical skills of those who work with them


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase I | Award Amount: 218.39K | Year: 2015

Enter the text here that is the new abstract information for your application This section must be no longer than lines of text Substance use disorder SUD is a chronic relapsing disease However current systems of care typically respond to SUD as an acute problem requiring short term residential and or outpatient treatment As currently treated people with SUD continue to have high relapse rates with few opportunities for long term recovery and relapse prevention supports One approach to continuous care is for substance use counselors to engage clients in systematically monitoring their own progress and to offer therapeutic feedback in response This approach aligns with the Institute of Medicineandapos s explicit recommendation for the use of client monitoring systems which offer continuous monitoring and feedback allowing the counselor to intervene when needed The SUD field has begun to explore promising strategies for using monitoring and feedback including through the use of technologies such as telephone and mobile devices Building on NIDA funded research on RecoveryTrack a computer based client outcomes monitoring system OMS the Center for Social Innovation LLC C has partnered with Treatment Research Institute TRI to develop and evaluate RecoveryTrack Mobile A Monitoring and Feedback Intervention RT M The goal of this intervention to be developed into a mobile application is to mitigate the risk of relapse among clients during and after outpatient treatment using an evidence based OMS assessment This extends continuous monitoring beyond the clinical setting and into a clientandapos s day to day environment Clients will complete core RecoveryTrack assessment questions weekly and daily and the results will be used to prompt feedback or support from the counselor and family friends and or sponsors that the client has elected to connect with the app The app will include recovery supports such as motivational and alert messages information and resource links that promote recovery and wellness During Phase we will conduct a small scale pilot study that is designed to evaluate feasibility and counselor and client acceptability of RT M and to determine whether RT M supports clientsandapos post discharge functioning We will use quantitative and qualitative methods to evaluate the product intervention prototype in order to provide proof of concept for a larger Phase effectiveness study We will recruit a sample of clients n and counselors n from a large medical center in Philadelphia PA that offers outpatient drug and alcohol services Quantitative data will be collected through baseline and follow up assessments one month post discharge using instruments with strong psychometric properties to measure changes in substance use and other relevant functional indicators as well as urine testing Qualitative and quantitative data will be collected on counselors and clients to understand their use of and experiences with the app and the intervention and suggestions for Phase The project will be informed and enhanced by a Community Advisory Board of former clients and counselors Building on recent research for substance dependence monitoring and feedback interventions the Center for Social Innovation and Treatment Research Institute will develop and evaluate RecoveryTrack Mobile A Monitoring and Feedback Intervention Using the evidence based RecoveryTrack client outcomes monitoring system assessment as a component in combination with clinical integration and interactive wraparound recovery supports the app aims to mitigate relapse risk and concurrent functional problems among clients during and after outpatient treatment for substance use disorders


Grant
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase I | Award Amount: 149.62K | Year: 2014

? DESCRIPTION (provided by applicant): An estimated 1.6 to 2.8 million youth run away or are evicted by their caregivers in the US each year. Youth in foster care are twice as likely to exhibi runaway behaviors as youth in the general population. Theyfrequently face dangerous situations, engage in high-risk behaviors, and have problems that include drug and alcohol abuse, severe emotional and conduct disorders, school failure, criminal behavior, and victimization. Yet little research has explored howbest to decrease running away of youth in foster care, and virtually no interventions are available to support providers working with these youth. To address this challenge, the Center for Social Innovation (C4) and the University of South Florida's Department of Child and Family Studies (USF) propose to adapt USF's assessment and intervention tool [Functional Assessment Interview for Runaways (FAIR)] into an innovative, highly interactive, and widely accessible web-based tool entitled Function First: An On


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase I | Award Amount: 148.96K | Year: 2016

DESCRIPTION provided by applicant People living with HIV PLHIV experience high rates of mental health and substance use conditions left untreated behavioral health issues can lead to poor health outcomes Research indicates that PLHIV and co occurring behavioral health conditions have lower levels of treatment engagement and adherence and higher rates of HIV related morbidity and mortality Person centered care PCC approaches are being used in behavioral health and HIV primary care settings as a strategy to strengthen client engagement and adherence PCC approaches often require that providers and clients acquire new knowledge and skills and change their attitudes about the nature of the provider client relationship However no web based training tools exist to address co occurring HIV and behavioral health conditions using PCC In response the Center for Social Innovation and the University of Maryland School of Medicine propose to develop and test a Re Connect A Web Based Tool for Collaborative HIV Care an interactive multimedia tool to support the collaborative process of PCC Two versions of the tool will be developed and evaluated one tailored to the needs of HIV care providers and the second to individuals in HIV clinics who may have co occurring behavioral health conditions Both versions of the tool will feature presentations interactive lessons and practice exercises using principles of adult learning Re Connect will guide both providers and PLHIV to develop a more collaborative approach to treatment for HIV and behavioral health services through a series of engaging multimedia exercises and demonstrations The specific aims of the proposed project are to Develop a prototype of Re Connect to enhance HIV treatment engagement and adherence among PLHIV and co occurring behavioral health conditions Conduct pilot testing to determine feasibility acceptability and potential usefulness of using Re Connect to improve treatment engagement and adherence and Synthesize findings to demonstrate proof of concept for Phase II This formative evaluation will use mixed methods to explore the feasibility acceptability and potential usefulness of Re Connect We will recruit HIV treatment providers physicians nurses social workers and PLHIV receiving services at the Evelyn Jordan Center in Baltimore Maryland All participants will access the provider or client version of the online too Research participants will complete surveys at baseline and after completing Re Connect Participants will also participate in semi structured interviews to qualitatively explore their experiences using the tool Data will guide revisions to the tool and inform research design for a larger Phase II study PUBLIC HEALTH RELEVANCE Behavioral health conditions are common in people living with HIV and frequently interfere with treatment engagement and adherence We propose to develop and evaluate Re Connect A Web based Tool for Collaborative HIV Care to promote the use of person centered care an approach designed to maximize clientsandapos involvement in their own treatment This interactive tool will support collaborative care by providing clients with targeted education about HIV and behavioral health goal setting and decision making activities and communication strategies


Grant
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase I | Award Amount: 202.98K | Year: 2011

DESCRIPTION (provided by applicant): The Center for Social Innovation (C4SI) proposes to develop and pilot test the Motivational Interviewing Simulator: An Experiential Online Training Tool. Motivational Interviewing (MI) is a well-established evidence- based practice that has been implemented across a wide range of disciplines including mental health and substance abuse treatment, primary care, HIV/AIDS services, homeless programs, and other health and social services. While standard 2-day face-to-face trainings have been shown effective in initial uptake of MI knowledge and skills, researchers have consistently documented a significant decrease in knowledge and skills in the weeks and months following onsite training. A need exists to develop a web-based training tool that can reinforce MI learning, and that will be accessible to a large number of providers. The proposed MI Simulator is designed to meet this need. The study has three specific aims: 1. To design a prototype Motivational Interviewing Simulator that supports health and social service providers to acquire, practice, and evaluate MI skills. 2. To conduct a pilot study to determine feasibility of a large Phase II study on the Simulator's effectiveness. 3. To explore commercial application of the Simulator. The Simulator will allow users to play the role of client, clinician, clinical supervisor, or team member. Multiple scenarios will allow users to work through various encounters across service settings (e.g., community mental health, inpatientdetoxification, homeless outreach, diabetes care, HIV/AIDS treatment). The prototype will be created using an established process developed by Forio, a simulation development company that will consult on the project. Forio's process has guided simulated learning products developed by the Centers for Disease Control, Harvard University, and numerous Fortune 500 companies. C4SI will conduct a Phase I pilot study to determine the feasibility of conducting a larger relative effectiveness trial. The pilot willinclude a sample of 30 participants who will be recruited from participants in our regularly scheduled 2-day face-to-face MI trainings, then randomized into one of two conditions: 1) On-Site Training with MI Simulator (n=15); or 2) Onsite Training with Enhanced Online Support (self-paced E-Book ) (n=15). Data sources will include Pre/Post Training Surveys and coded audio tapes of participants-client encounters. We will closely track challenges associated with each aspect of such a design, including recruitment and randomization, data collection instruments and processes, and implementation of the MI Simulator and E-Book products. Data collected during this study will enable us to fine-tune study design, product usability, and hypotheses to be tested in a Phase II study. Finally, we will conduct a Phase I market analysis and develop preliminary marketing and pricing strategies. PUBLIC HEALTH RELEVANCE: The Motivational Interviewing Simulator: An Experiential Online Training Tool represents the first major effort matching simulation technology with the evidence-based practice of motivational interviewing (MI). The Simulator will support retention of MI knowledge and skills to ensure fidelity to the model-and ultimately will improve quality of care for vulnerable populations by improving the clinical skills of service providers.


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase II | Award Amount: 490.78K | Year: 2016

DESCRIPTION provided by applicant People in recovery from serious mental illness are often excluded from making decisions about their own mental health care frequently resulting in poor alliances with their care providers While the Patient Protection and Affordable Care Act addresses this issue by requiring programs to be person centered and recovery oriented providers often struggle to identify concrete ways to change their practices Person Centered Recovery Planning PCRP is an evidence based approach to collaborative service planning among an individual the treatment team and supports PCRP maximizes client choice and ownership in the treatment process in order to achieve recovery goals Dissemination of PCRP in the mental health field has been gradual and training opportunities are limited As a result many people with mental illness continue to experience low self efficacy in participating in their treatment planning Recovery Roadmap A Collaborative Multimedia Tool for Person Centered Recovery Planning is a highly interactive web based tool that provides guidance for providers and people in recovery and promotes widespread implementation of PCRP The Recovery Roadmap prototype was developed and tested by the Center for Social Innovation C in partnership with Yale Universityandapos s Program for Recovery and Community Health PRCH under a Phase I Small Business Innovative Research SBIR grant funded by the National Institute of Mental Health NIMH R MH The interactive web based tool consists of two modules one for service providers and one for clients The provider module presents didactic information and exercises to help providers gain the necessary knowledge and skills to implement PCRP The client module helps people in recovery engage in their care by identifying priorities and life goals as well as gaining skills in advocating for themselves and driving their own care Response to the Roadmap was overwhelmingly positive providers and clients noted concrete changes in the treatment planning process Providers and clients reported statistically significant improvements on the Person Centered Care Questionnaire PCCQ a measure of PCRP implementation Phase II will refine the prototype Roadmap to streamline content provide additional handouts and exercises for providers and clients to complete together expand the audio video vignettes and case studies and add interactive online coaching and support for providers Phase II also involves a robust evaluation of the Roadmap using a quasi experimental design in a fully powered trial Approximately community based mental health programs will be randomized into Recovery Roadmap RR or Treatment as Usual TAU conditions A total of providers will be recruited RR n TAU n Each provider will recruit two clients to participate RR n TAU n Data will include one pre test and three post tests with providers and clients interviews with providers and administrators network analytics and administrative client data This phase will culminate with the dissemination of findings and preparation for Phase III commercialization PUBLIC HEALTH RELEVANCE Research demonstrates that Person Centered Recovery Planning PCRP empowers an individual in the treatment process improves their ability to manage their mental health conditions and also leads to improved physical and psychological health Recovery Roadmap A Collaborative Multimedia Tool for Person Centered Recovery Planning addresses the need for person centered and recovery oriented care by expanding development of Recovery Roadmap an interactive web based tool on PCRP for service providers and people in recovery evaluating the Recovery Roadmap using a quasi experimental design in a fully powered trial and disseminating findings and preparing for commercialization This comprehensive tool will provide broad dissemination of PCRP and in turn improve the lives of people experiencing mental illness


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase I | Award Amount: 329.55K | Year: 2016

PROJECT SUMMARY In response to the growing need for training on interventions to address first episode psychosis the Center for Social Innovation C has partnered with experts in Coordinated Specialty Care CSC to develop and test CSC OnDemand An Innovative Online Learning Platform for Implementing Coordinated Specialty Care The product builds on the findings of the Recovery After an Initial Schizophrenia Episode RAISE studies funded by the National Institute of Mental Health NIMH RAISE examined team based models of care for people early in the course of schizophrenia Through this Fast Track Small Business Innovation Research SBIR grant we will prototype test refine and evaluate the impact of CSC OnDemand The platform will move teams through four levels of learning program readiness core knowledge deeper role specific learning and sustainability CSC OnDemand will include self paced online modules interactive multimedia case studies instructor led online courses peer interaction through an online discussion forum and multi site case conferencing and a central online hub to consolidate existing resources and training materials from across the field Phase I will build a robust prototype of the online platform and test it with fifteen to twenty providers from three sites This Phase will explore feasibility acceptability and preliminary effectiveness of the product and will examine which components of the online platform providers find most useful Based on our findings from Phase I we will refine the concept and fully build out the product to test in a larger randomized trial Phase II will use a cluster randomized non inferiority design to assess if OnDemand training n sites is comparable to InPerson training n sites Using a mixed methods approach we will examine provider n outcomes satisfaction knowledge gains retention attitudes toward shared decision making and client n outcomes work school participation engagement in CSC services inpatient psychiatric hospitalizations Phase III will roll out CSC OnDemand on a large commercial scale CSC OnDemand will disseminate CSC training widely and ensure training quality and consistency for C and our partners The overarching goal of this project is to create a scalable training model to support increased Coordinated Specialty Care across the United States This model can create strong pathways to recovery for tens of thousands of young people experiencing first episode psychosis and equip CSC teams to provide care support and connection for these young people and their families PROJECT NARRATIVE Scaling effective programs to address first episode psychosis is a pressing public health need This project entitled CSC OnDemand An Innovative Online Learning Platform for Implementing Coordinated Specialty Care delivers training for coordinated specialty care teams through online or blended online onsite implementation support The approach connects young people experiencing first episode psychosis with treatment and support to help them achieve positive outcomes in school work family and community


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase I | Award Amount: 149.77K | Year: 2016

DESCRIPTION provided by applicant Neurodevelopmental assessments of young children can be complex and difficult to use by untrained non clinical staff in low resourced settings Additionally few instruments have been developed or tested for use with culturally diverse samples of children living in poverty In family homeless shelters in the United States developmental assessment of the children is especially rare despite their high risk status Fifty one percent of homeless children are under age five and a disproportionate number are from African American or Latino families and most are exposed to multiple adverse early life experiences Environmental and family factors e g poverty and racism maternal depression adversely impact the developmental trajectories of homeless children To address these concerns the Center for Social Innovation C will develop the Vulnerable Child Assessment Tool VCAT An Instrument for Use in Resource Limited Settings Normed on a diverse sample of homeless children ages three to five and based in an ecological framework the VCAT will make neurodevelopmental assessment accessible to vulnerable children and families in low resource settings Phases I and II of this study will use a rigorous psychometric approach to develop an ecologically aware instrument with low cognitive burden to measure adverse childhood experiences risk and protective factors and developmental delays During Phase I a set item pool for each domain will be developed in conjunction with the expert panel and vetted for cognitive burden cultural responsiveness and ease of administration Phase I families will be recruited through Housing Families a local homeless program serving up to homeless children a day We will test the pool of items in a small sample of parents and program staff using cognitive interviews and psychometric tests including Item Response Theory IRT and internal consistency reliability Concurrently we will develop a prototype online platform and pilot its use for feasibility with the initial items on a sample of children In Phase II we wil test the validity and reliability of the instruments using a larger sample of homeless children recruited from programs around the country and will assess the validity of the instrument by correlating results with gold standard clinically administered instruments on a subsample of homeless children We will further the refine the web based platform develop a scoring algorithm and incorporate a recommendations system for service interventions to address identified concerns This project will build upon on C andapos s innovative platform used to create the first psychometrically validated instrument to measure trauma informed care Using the same back end technology the VCAT will enable direct service staff to target limited resources to the most needed areas for intervention at the child parent and environmental levels The instrument will fill a significant gap in the field making valid and reliable assessment of low income racially diverse children exposed to multiple risk factors more accessible and serve as a model to develop tools for use with infants or school aged children and those in other low resourced environments PUBLIC HEALTH RELEVANCE The proposed project Vulnerable Child Assessment Tool VCAT An Instrument for Use in Resource Limited Settings addresses gaps in the research and practice of developmental assessments of young children from culturally diverse groups living in poverty and exposed to multiple adverse childhood experiences including homelessness Under this Fast Track study the Center for Social Innovation C is developing testing and evaluating an innovative online neurodevelopmental assessment instrument to assess child development in context The VCAT will assist homeless service providers to identify children residing in shelter settings who are at moderate and high risk for neurodevelopmental delays and target limited resources to service interventions at the child parent and or community levels that build resilience and redress developmental delays onto healthy trajectories


Grant
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase I | Award Amount: 147.36K | Year: 2011

DESCRIPTION (provided by applicant): Homelessness among elderly Americans is growing. Difficult economic realities have increased the tension between fixed incomes and the high costs of housing, food, transportation, and health care. Many of the over threemillion seniors in the US who are living in poverty are at risk of homelessness. During the transition periods that precipitate homelessness, elders often interact with a workforce ill equipped to recognize and respond to this risk. As a result, providersin hospitals, community health centers, senior centers, and other service organizations make poor choices around discharge, service and care planning, referrals, and public benefit delivery. This comes at a great cost to at-risk seniors, as homelessness can complicate cognitive disabilities, impede emotional health, and exacerbate chronic medical conditions. To respond to the National Institute on Aging's mission to communicate information on aging to health care providers and the public, The Center for Social Innovation (C4) proposes to develop an Online Tool to Recognize and Respond to Elder Homelessness. A prototype will include an Online Learning Module, a Community Resource Guide, and a Screening Tool. The purpose of this online Tool is to equip socialworkers, nurses, case managers, counselors, and others who provide hands-on care for seniors with the knowledge and skills needed to recognize risk of homelessness among the people they serve and to rapidly connect them with available community supports.The ultimate goal of the project is to support providers in connecting their clients to services that will prevent homelessness. Three aims guide this study: (1) Design a prototype Online Tool to Recognize and Respond to Elder Homelessness; (2) Determine the feasibility of the study design and the Tool's ability to equip providers to recognize and respond to homelessness in the aging population; and, (3) Explore the product's commercial potential. C4 will test the feasibility of both the product and study design by collecting quantitative and qualitative data from surveys, focus group discussions, and interviews. A total of 30 direct service providers and 9 administrators will comprise the sample drawn from three study settings: a hospital, community healthcenter, and community senior center. C4 will explore the most appropriate application of the prototype to inform a Phase II study. PUBLIC HEALTH RELEVANCE: Health and human service providers across diverse settings interact with aging individuals onthe brink of homelessness; yet often lack the awareness or tools to respond. This can result in poor choices around service planning, risking the lives and well being of over three million seniors living in poverty. The Online Tool to Recognize and Respond to Elder Homelessness is designed to provide knowledge and tools that service providers can use to identify responsive community supports. )


Grant
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase I | Award Amount: 349.48K | Year: 2014

DESCRIPTION (provided by applicant): Recent research on the treatment of first-episode psychosis has documented positive results and hope for better long-term outcomes for consumers and their families. In particular, the NIMH-funded RISE study (Recovery after an Initial Schizophrenia Episode) developed an innovative early intervention. Building on the RAISE project, the Center for Social Innovation, LLC (C4) has partnered with the Research Foundation for Mental Hygiene, Inc. (RFMH) at the New York State Psychiatric Institute and Columbia University to develop and evaluate On TrackgtAn Online Role-Playing Game (On TrackgtThe Game). The goal of the game is to give consumers, family members, and provider's knowledge and skills to improve access to care. After playing the game, young people will be more likely to engage in and follow through with treatment; participate more actively as collaborators in their own care; and become more hopeful about their futures. Designed in the style of an animated, interactiv

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