700 Participants Needed

Community-Based Interventions for Mental Health

Recruiting at 1 trial location
TV
DL
TT
SS
MP
Overseen ByMalcolm Punter, Ed.D
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: City University of New York, School of Public Health
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to improve mental health care in the Harlem community by testing various collaborative approaches, including the Learning Collaborative and MH task-sharing training. It explores how different organizations can work together to make mental health services more accessible and effective. Participants receive training and resources on mental health care and may use technology tools to assess their impact on outcomes. Good candidates for the trial are Black and Latino adults living in Harlem with moderate depression or anxiety. As an unphased trial, this study offers participants the opportunity to contribute to innovative mental health solutions in their community.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that different community organizations collaborate to improve access to mental health care. Studies examine how mental health services can integrate into regular health care and other community services.

Specific information about the safety of these collaborative care models is not yet available. However, they generally apply existing, safe mental health practices in innovative ways. The trial is labeled "Not Applicable" for its phase, indicating a focus on studying effectiveness rather than testing a new drug or treatment. This suggests the approach is not expected to pose significant safety risks to participants.

For the technology-enhanced model, specific safety data is also unavailable. The technology likely supports existing community and health services, which are usually well-tolerated. The focus remains on improving coordination and access, not introducing new treatments.

In summary, while specific safety data is missing, the interventions are expected to have minimal risk. Participants will engage with well-established mental health practices and community services.12345

Why are researchers excited about this trial?

Researchers are excited about these mental health interventions because they focus on empowering communities and integrating technology in innovative ways. The Education and Resources approach offers online training to equip community members with mental health skills, like screening and psychoeducation, alongside a directory of local resources. The Multisector Collaborative Care model goes a step further by adding training on teamwork and care coordination, which is crucial for addressing complex needs. Finally, the addition of technology tools in the Multisector Collaborative Care and Technology arm aims to enhance the effectiveness of these interventions, potentially improving both implementation and consumer outcomes. Unlike traditional mental health care that often relies on individual therapy sessions or medication, these interventions promote community-based support and collaborative care, which could make mental health resources more accessible and effective.

What evidence suggests that this trial's treatments could be effective for mental health?

This trial will evaluate different community-based interventions for mental health. One treatment arm, the Multisector Collaborative Care (MCC) Model, involves collaboration across various sectors to improve mental health care. Research has shown that such collaborations help coordinate care and make it easier for people to access necessary services. Another arm, Multisector Collaborative Care and Technology, will assess the impact of adding a technology-based implementation tool. Evidence suggests that using technology in these collaborations improves results by enhancing communication and tracking progress. Additionally, the Education and Resources arm focuses on sharing tasks among different roles, which has shown promise in making mental health care more accessible and effective. Overall, these methods aim to enhance mental health support by utilizing community resources and technology.23467

Who Is on the Research Team?

VK

Victoria K Ngo, PhD

Principal Investigator

City University of New York

Are You a Good Fit for This Trial?

This trial is for Black and Latino adults aged 18-65 living in Harlem, specifically those from low-income housing or receiving primary care locally. Participants should have a moderate risk for depression, indicated by a PHQ-4 Total Score of 3 or higher.

Inclusion Criteria

Harlem residents from low-income housing developments or receiving primary care services in Harlem
PHQ-4 Total Score ≥3, moderate risk for depression
I am a Black or Latino adult aged between 18 and 65.

Exclusion Criteria

Those with risk for depression or anxiety who screen positive for severe mental illness (e.g., psychosis, mania, substance abuse, and high suicide risk) using screening items from the Mini-International Neuropsychiatric Interview will be excluded from the study and referred to MH services at higher levels of care

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

0-6 months

Education and Resources

Participants receive online training on MH task-shifting skills, including screening, psychoeducation, and referral to MH care.

6-12 months
Online sessions

Multisector Collaborative Care

Participants engage in a community-engaged multisector collaborative care model, including additional training on multisectoral team skills and care navigation.

6-12 months

Follow-up

Participants are monitored for implementation and consumer outcomes, including mental health service linkage and program sustainment.

12-24 months

What Are the Treatments Tested in This Trial?

Interventions

  • Learning Collaborative
  • MH task-sharing training
  • Supervision
  • Technology Intervention
Trial Overview The study tests the Harlem Strong Community Mental Health Collaborative's approach to mental health. It involves problem-solving care barriers, training community workers in mental health tasks, coordinating healthcare with social services, and improving data systems for quality care.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Active Control
Group I: Multisector Collaborative Care and TechnologyExperimental Treatment4 Interventions
Group II: Multisector Collaborative CareExperimental Treatment3 Interventions
Group III: Education and ResourcesActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

City University of New York, School of Public Health

Lead Sponsor

Trials
27
Recruited
36,200+

Harlem Congregation for Community Improvement, Inc.

Collaborator

Trials
1
Recruited
700+

Healthfirst

Collaborator

Trials
3
Recruited
1,100+

Healthfirst

Collaborator

Trials
3
Recruited
1,100+

Published Research Related to This Trial

A participatory action research project involving mental health providers and consumers highlighted the importance of dialogue in creating a knowledge exchange process that supports recovery-oriented care.
The study identified significant interpersonal and intrapersonal tensions in the provider-consumer relationship, emphasizing the need for open communication to foster understanding and empowerment in mental health recovery.
Mental health consumers and providers dialogue in an institutional setting: a participatory approach to promoting recovery-oriented care.Schwartz, R., Estein, O., Komaroff, J., et al.[2022]
The implementation of an app-augmented collaborative care model (CoCM) in a diverse patient population led to significantly more healthcare team contacts and quicker follow-up times compared to standard CoCM, indicating improved patient engagement in treatment.
Patients using the app showed similar clinical outcomes in depression improvement as those in standard CoCM, but with higher appointment compliance and fewer missed appointments, suggesting that technology can enhance the effectiveness and sustainability of behavioral health care in primary care settings.
Enhancing the scalability of the collaborative care model for depression using mobile technology.Carleton, KE., Patel, UB., Stein, D., et al.[2021]
Interviews with staff from ten outpatient mental health teams in the US Department of Veterans Affairs revealed varying degrees of alignment with the Collaborative Care Model (CCM), which is designed to improve care for chronic health conditions.
Understanding the current care delivery practices in these settings is crucial for effectively implementing CCM-based outpatient mental health care in the future.
Assessing Collaborative Care in Mental Health Teams: Qualitative Analysis to Guide Future Implementation.Miller, CJ., Sullivan, JL., Kim, B., et al.[2020]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39300414/
A multisector community-engaged collaborative for mental ...This research study will evaluate the effectiveness of a multisectoral community-engaged collaborative for task-sharing mental health care.
A multisector community-engaged collaborative for mental ...A multisector community-engaged collaborative for mental health integration in primary care and housing developments: Protocol for a stepped- ...
Harlem Strong Mental Health CoalitionA multisector coalition to work together to implement an expanded model of community collaborative care for evidence-based mental health to Harlem residents.
NCT05833555 | Harlem Strong Mental Health CoalitionThis study examines the impact of Harlem Strong Community Mental Health Collaborative, a community-wide multi-sectoral coalition in which a health insurer works ...
Evidence Base for Collaborative Care (CoCM) - AIMS CenterCoCM is also shown to be highly effective in treating co-morbid mental health and physical conditions such as cancer, diabetes, and HIV. Below are multiple ...
A multisector community-engaged collaborative for mental ...This research study will evaluate the effectiveness of a multisectoral community-engaged collaborative for task-sharing mental health care.
Multi-Sector, Community-Driven PartnershipsThis commentary summarizes the key takeaways from the webinar, highlighting the work of two multi-sector organizations in California and ...
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security