RecruitingNot ApplicableNCT05833555

Harlem Strong Mental Health Coalition

Harlem Strong Mental Health Coalition: A Multi-sector Community-Engaged Collaborative for System Transformation


Sponsor

City University of New York, School of Public Health

Enrollment

700 participants

Start Date

Apr 5, 2023

Study Type

INTERVENTIONAL

Conditions

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

Min Age: 18 YearsMax Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This study is building a mental health support coalition in Harlem for Black and Latino adults living in low-income housing or receiving primary care. The program aims to provide culturally appropriate mental health services and resources to address depression and anxiety in communities that are often underserved by traditional mental health care. **You may be eligible if...** - You identify as Black or Latino and are between 18 and 65 years old - You live in Harlem public housing or receive primary care services there - You have mild to moderate symptoms of depression or anxiety (a screening score of 3 or more on a standard questionnaire) **You may NOT be eligible if...** - You screen positive for severe mental illness such as psychosis, mania, active substance abuse, or high suicide risk (you would be referred to more intensive care instead) Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALMH task-sharing training

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.

BEHAVIORALSupervision

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.

BEHAVIORALLearning Collaborative

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.

OTHERTechnology Intervention

To be determined by community crowdsourcing after the first phase of implementation of the multisector collaborative care for MH task-sharing.


Locations(2)

CUNY Graduate School of Public Health and Health Policy

New York, New York, United States

Harlem Congregation for Community Improvement

New York, New York, United States

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NCT05833555


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