Harlem Strong Mental Health Coalition

Part of paid clinical trials in New York, New York.

Sponsor
City University of New York, School of Public Health
Study ID
NCT05833555
Status
Recruiting
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Conditions

  • Depression, Anxiety
  • Mental Health Wellness
  • Stress-related Problem

Eligibility Criteria

Sex
ALL
Age
18 Years - 65 Years
Healthy Volunteers
Accepted

Interventions

  • MH task-sharing training — BEHAVIORAL
    Providers will be trained to screen for MH, provide education, refer, and coordinate to range of social services. MH training typically consists of education and resources, such as one-time workshops and toolkits, provided with limited technical assistance.
  • Supervision — BEHAVIORAL
    Additionally, Community Health Workers (CHWs) will receive bi-weekly group supervision for the first 6-months, and monthly supervision for the remaining year on Zoom from a supervisor at Center for Innovation in Mental Health.
  • Learning Collaborative — BEHAVIORAL
    A learning collaborative with multidisciplinary teams from various healthcare organizations will support continuous quality improvement and develop develop structured approach to improve provision of care.
  • Technology Intervention — OTHER
    To be determined by community crowdsourcing after the first phase of implementation of the multisector collaborative care for MH task-sharing.

Study Details

Addressing health disparities, especially in the face of coronavirus pandemic, requires an integrated multi-sector equity-focused, community-based approach. This study will examine the impact of Harlem Strong Community Mental Health Collaborative, a community-wide multi-sectoral coalition in which a health insurer works with a network of community-based organizations, medical providers, and behavioral health providers to engage in a network-wide implementation planning process to: (1) problem-solve financing, access, and quality of care barriers, (2) support capacity building for mental health (MH) task-sharing for community health workers, (3) facilitate coordination and collaboration across MH/behavioral health, primary care, and a range of social services, including case management, housing supports, financial education, employment support, and other community resources to improve linkages to services, and (4) identify a set of common MH, social risk, and health metrics and strategies to integrate these metrics into data systems across the network for continuous quality improvement of the system. The long-term goal of our study is to develop sustainable model for task-sharing MH care that will be embedded in a coordinated comprehensive network of services, including primary care, behavioral/MH, social services, and other community resources.

Key Dates

Start date
Apr 5, 2023
Status verified
May 2026
Primary completion
Jun 30, 2026
Completion
Aug 31, 2026

Study Design

Enrollment
700 participants (estimated)
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Active Comparator: Education and Resources
    Education and Resources (E\&R) involves online training through the E-Hub on delivery of basic MH task-shifting skills, such as screening, psychoeducation, and referral to MH care. A community directory along with training on community resources will be made available to all participants. Specifically, we will recommend that those identified to have common MH problems (PHQ-4≥3) are offered a single two-hour zoom-based group psychoeducation session about depression and anxiety, COVID-19 impact on MH, wellness and self-care skills, and directory of Harlem-based MH services and other community resources. Participants exhibiting higher level needs are referred to MH specialists.
  • Experimental: Multisector Collaborative Care
    Multisector Collaborative Care (MCC) Model will consist of all resources offered in E\&R and additional trainings on skills related to working in a multisectoral team, care navigation, syndemic risks and coordination of services related to MH, social services, and health care.
  • Experimental: Multisector Collaborative Care and Technology
    MCC sites will be randomized to receive an additional technology-based implementation tool to evaluate impact on implementation and consumer outcomes.

Primary Outcome Measure

Depression - PHQ-9 [ Time Frame: 6-12 months ]

Central Contacts

Locations (2)

FacilityCityStateZIPSite coordinators
CUNY Graduate School of Public Health and Health PolicyNew YorkNew York10025
Victoria K Ngo, PhD
[email protected]
626-780-7899
Harlem Congregation for Community ImprovementNew YorkNew York10025
Malcolm Punter, Ed.D
[email protected]
212-281-4887
Malcolm Punter, Ed.D (SUB_INVESTIGATOR)

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By research site
CUNY Graduate School of Public Health and Health Policy· New York, NYHarlem Congregation for Community Improvement· New York, NY

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