Haleigh Randall joins the WERT team as a Research Study Assistant. Previously, she served as a Research Associate at Committee for Children, where she was part of the implementation team focused on evaluating the fidelity of a digital K–12 social-emotional learning curriculum. During her time there, she presented at conferences and co-authored publications related to implementation fidelity. Haleigh also brings experience from adult clinical psychology settings, where she contributed to research on binge drinking behaviors and explored alcohol-related healthcare access for transgender adults. She holds a Bachelor of Science in Psychology with a minor in Diversity Studies from the University of Washington.
Passionate about fostering inclusive research environments—for both participants and researchers—Haleigh is committed to equity in the field. In her free time, she enjoys crocheting, baking and attending live music events.
Background and Goals:
The Wraparound service model (WSM) is the most common care coordination strategy for youth with serious emotional disorders(SEO), with programs in nearly every U.S. state serving more than 100,000 youth. A recent meta-analysis of 17 controlled studies found significant positive effects of WSM on mental health (MH) symptoms, out of home placement rates, and health care expenditures, confirming its critical role in behavioral healthcare for children and adolescents. As is the case for other evidence-based practices, the degree to which data are consistently measured and used to inform care, i.e., "measurement-based care" or MBC, accounts for a large proportion of the variance in outcomes for Wraparound. For example, collection and use of data assessing client satisfaction, therapeutic alliance, and progress substantially increase likelihood of achieving target outcomes as a function of treatment. However, research on WSM shows that measurement and use of data, such as via Routine Outcome Monitoring, is inconsistent at best. The goal of this SBIR is to develop and test a mobile ROM (mROM) system tailored to WSM. The proposed SMART-Wrap (Short Message Assisted Responsive Treatment for Wraparound) product will provide a feasible and acceptable mROM approach for WSM-enrolled parents/caregivers and youth based on evidence-based principles and past research for effective mROM. SMS ("short message system") is supported by every mobile device and network with no software download needed. More than 98% of SMS messages are opened, compared to just 20% of emails, and on average, 90% of SMS messages are opened within the first 3 seconds of receipt.l161 SMART-Wrap will periodically administer brief, straightforward (1-2 items) SMS-based assessments of intermediate outcomes that have been found to predict clinical outcomes of WSM (e.g., harm to self and others, hospitalization, out of home placement)). Data will be used to:- Populate tabular and graphical displays (based on user permissions) to inform decision-making by WSM care providers, supervisors, and program managers (i.e., the WSM care team);
- Trigger alerts to WSM care team members, such as escalation in caregiver stress or youth symptoms; and
- Generate automated SMS outreach messages for families.