RAP Club for Student Mental Health

(PPP Trial)

This trial aims to determine the best way for schools to implement the RAP Club, a program designed to help 8th graders manage stress, regulate emotions, and make informed decisions. The study evaluates four different setups: a teacher versus a school clinician leading the program, and standard versus enhanced supervision for the leaders. The goal is to identify which combination most effectively improves student mental health while being cost-effective and practical. Ideal candidates for this trial are 8th-grade students from participating Baltimore City Public Schools who are not in special education classes. As an unphased trial, this study provides students with a unique opportunity to contribute to research that could improve their school experience and emotional well-being.

Research has shown that RAP Club is safe for students. In past studies, students who joined RAP Club experienced better mental health, with reduced anxiety and depression. One study found that it also improved behavior and success in school. No serious side effects occurred. Thus, evidence suggests that RAP Club is well-tolerated.¹²³⁴⁵

Researchers are excited about the RAP Club for student mental health because it offers a fresh approach to supporting young people. Unlike traditional treatments that often rely on medication or one-on-one therapy sessions, RAP Club is a group-based intervention that emphasizes peer support and social learning. It is delivered in schools by either mental health professionals or teachers, making it more accessible and integrated into students' daily lives. Additionally, the trial explores different supervision levels—standard versus enhanced—to see which provides the most effective support, offering valuable insights into optimizing mental health interventions in educational settings.

Studies have shown that the RAP Club program helps students manage stress, control their emotions, and make better choices. In this trial, students will participate in the RAP Club intervention delivered by either a school-based mental health provider or a teacher, with either standard or enhanced supervision. One study reported a 24% drop in emotional distress and a 28% rise in health awareness among students who participated in similar school programs. Additionally, using hip hop and relaxation techniques, like those in RAP Club, has helped students express their feelings and improve their self-esteem. These benefits are crucial for middle school students as they navigate the challenges of growing up. The evidence suggests that RAP Club can significantly enhance student mental health and well-being.⁶⁷⁸⁹¹⁰