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Building Effective Crisis Teams in School-based Mental Health to Reduce Youth Suicide ​

Awardee: Prerna Martin, PhD. - UCLA

Co-Investigator(s): Anna Lau, PhD. 

Specific Aims 

  1. To measure and characterize team emergent states in school teams implementing SAFETY-A in districts serving low-income ethnic minority youth. We will employ mixed methods to measure team-level
    shared mental models, psychological safety, trust, cohesion, and collective efficacy within school teams delivering SAFETY-A in the R34 (N=160 providers, 99 schools). We will characterize differences in TES across diverse school implementation contexts and examine changes in TES over time. Data from this aim will serve to isolate 1-2 promising team mechanisms to enhance team-based implementation of SAFETY-A in Schools.
  2. To explore if team emergent states within school teams are associated with SAFETY-A implementation outcomes, such as provider perceptions of acceptability, feasibility, adherence, and intentions to sustain SAFETY-A delivery. This exploratory aim allows us to test the application of the Team Effectiveness for Implementation Science model in this school-based implementation context.
  3. To examine if implementation leadership is associated with convergence of team shared mental models and psychological safety. Leadership across the inner school context and outer district-level context exert varying levels of influence on EBP implementation in schools18. We hypothesize that higher implementation leadership will be associated with greater convergence of shared mental models of SAFETY-A implementation and enhanced psychological safety within school-based implementation teams.