Harlem Strong Mental Health Coalition

Phase

N/A

Condition

Depression

Treatment

MH task-sharing training

Learning Collaborative

Supervision

Clinical Study ID

NCT05833555

U01OD033245

Ages 18-65
All Genders
Accepts Healthy Volunteers

Study Summary

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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Black and Latino adults between 18 and 65 years
Harlem residents from low-income housing developments or receiving primary careservices in Harlem
PHQ-4 Total Score ≥3, moderate risk for depression

Exclusion

Exclusion Criteria:

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

Study Design

MH task-sharing training

April 05, 2023

August 31, 2026

Study Description

This study examines the impact of Harlem Strong Community Mental Health Collaborative, a community-wide multi-sectoral coalition in which a health insurer works with community-based organizations and medical and behavioral health providers to (1) problem-solve financing, access, and quality of care barriers, (2) support capacity building for MH task-sharing for community health workers, (3) facilitate coordination and collaboration across MH/behavioral health, primary care, and social services, and (4) identify a set of common metrics and strategies for continuous system quality improvement. The research study will evaluate the impact using a Hybrid Implementation-Effectiveness design to assess the effects of the Harlem Strong Collaborative on implementation and consumer outcomes. The investigators will also describe implementation outcomes and key informant interviews to explore impact of community engagement, organization variables, and provider factors on model impact. The long-term goal of this study is to develop a sustainable model for task-sharing MH care that will be embedded in a coordinated comprehensive network of services.

The investigators will conduct a stepped-wedge clustered randomized control study evaluating the effectiveness of a MH task-sharing intervention, that involves randomization and sequenced exposure to three implementation conditions: (1) online education and resources (E&R) about MH task-sharing (screening, education, and referral), (2) community-engaged multisector collaborative care model (MCC), where a neighborhood-based coalition will support implementation of MH task-sharing, and (3) community crowdsourced technology solution to support implementation (MCC+Tech).

Connect with a study center

CUNY Graduate School of Public Health and Health Policy
New York, New York 10025
United States
Active - Recruiting
Harlem Congregation for Community Improvement
New York, New York 10025
United States
Active - Recruiting

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