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K-ORCA: Testing a Decision Support Tool and Group Process for Selecting Interventions

Refining and Pilot Testing a Decision Support Intervention to Facilitate Adoption of Evidence-Based Programs to Improve Parent and Child Mental Health

Who can join

Ages 18 and older · All sexes · Healthy volunteers welcome

Inclusion Criteria:

* Non-institutionalized
* Adults (18 years or older).
* English-Speaking

Aim 1:

* Involved in initial state decision-making related to Family First Prevention Services Act.
* Willing to participate in two data collection occasions.

Aim 2:

* Non-institutionalized
* Adults (18 years or older). English-Speaking.
* Involved in ongoing state decision-making related to Family First Prevention Services Act.
* Willing to participate in three measurement occasions.

Aim 3:

-Willing to participate in multiple (bi-weekly up to two years) measurement occasions.

Exclusion Criteria:

-Not involved in or potentially influencing child welfare intervention decisions

About the study

This proposal responds to NIMH Objective 4.2.c to develop "decision-support tools and technologies that increase the effectiveness and continuous improvement of mental health interventions" by leveraging the Family First Prevention Services Act (FFPSA) policy opportunity. First, a web-based platform to host (a) a decision-support tool and (b) automated facilitation for group decisions with the tool will be developed with state partners' feedback. Next, decision makers leading their states' FFPSA quality improvement efforts will be engaged to pilot a decision-support intervention comprised of the tool and live or automated facilitation, and to evaluate the implementation quality of evidence-based programs adopted with the decision-support intervention.

What is being tested

• Optimizing Responses with Collaborative Assessments-Automated (ORCA-A) (behavioral)
• Optimizing Responses with Collaborative Assessments-Live (ORCA-L) (behavioral)

Sponsor: Chestnut Health Systems · Participants: 80 · Started: Dec 1, 2026

Contact the study team

• Gracelyn Cruden, PhD · Phone: 843-513-9928

Official record on ClinicalTrials.gov — NCT06375551

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.