Peer-Delivered Behavioral Activation in a CCBHC

Conditions

• Major Depressive Disorder
• Substance Use Disorders

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Peer Activate — BEHAVIORAL
  Peer Activate is an adapted behavioral activation (BA) intervention, developed for delivery by peer recovery specialists to reduce rates of depressive symptoms and substance use. BA focuses on increasing positive reinforcement through engaging in adaptive, valued behaviors. BA has been found to be effective in improving substance use outcomes and decreasing depressive symptoms among low-income individuals with SUD. Peer Activate includes 6 weekly sessions with up to 6 additional booster sessions.
• Peer-delivered non-specific services — BEHAVIORAL
  Peers will deliver non-specific peer services, including linkage to care, general support, and facilitated referrals to external providers as needed.

Study Details

Low-income individuals have limited access to evidence-based interventions for mental health. Peer recovery specialists, individuals in recovery from mental health and/or substance use problems, have the potential to increase access to evidence-based interventions for individuals from low-resource communities, particularly when trained and supervised in models that are acceptable and feasible in these communities. This study will examine the effectiveness and implementation potential of a peer-delivered evidence-based intervention (Behavioral Activation) among individuals receiving services from a community-based treatment setting providing integrated physical and behavioral healthcare.

Key Dates

Start date

May 1, 2026

Status verified

Apr 2026

Primary completion

Jan 15, 2029

Completion

Jan 15, 2029

Study Design

Enrollment

250 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Arms

• Experimental: Behavioral Activation
  Peer Activate is an adapted behavioral activation (BA) intervention, developed for delivery by peer recovery specialists to reduce rates of depressive symptoms and substance use. BA focuses on increasing positive reinforcement through engaging in adaptive, valued behaviors. BA has been found to be effective in improving substance use outcomes and decreasing depressive symptoms among low-income individuals with SUD. Peer Activate includes 6 weekly sessions with up to 6 additional booster sessions.
• Active Comparator: Enhanced Treatment as Usual
  Enhanced treatment as usual (ETAU) involves peer-delivered non-directive support, including facilitated linkages to care and non evidence-based intervention approaches typically used by peer recovery specialists.

Primary Outcome Measure

Change in Hamilton Depression Rating Scale [ Time Frame: Baseline, post-intervention (approximately 3 months after baseline), 6- and 12-month follow-up ]

Central Contacts

• Julia Felton, PhD
  7049957832
  [email protected]

Locations (1)

Find similar trials in Detroit, MI

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