RecruitingNot ApplicableNCT06248203

Teachers Leading the Front Lines - Adolescent

Teachers Delivering Task-Shifted Mental Health Care to Adolescents in India

Sponsor

University of North Carolina, Chapel Hill

Enrollment

216 participants

Start Date

Feb 29, 2024

Study Type

INTERVENTIONAL

Conditions

Depression Mental Health Issue Anxiety Psychosocial Functioning Adolescent Behavior Adolescent - Emotional Problem

Summary

Purpose: The purpose of this research is to pilot test a novel, alternative, potentially sustainable system of teacher-delivered, task-shifted adolescent mental health care. Participants: Principals of 60 rural, low-cost private secondary schools of the Darjeeling Himalayas will be invited to participate as a school and an individual. Teachers will be approached individually. Two students per teacher who meet inclusion criteria will be randomly chosen for enrollment. Procedures: This is a RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) guided, mixed methods CRCT, clustered at schools, of Tealeaf-A's Reach, Adoption \& Implementation (Primary Outcomes, implementation-based), as well as evaluating for preliminary indicators of Effectiveness \& Maintenance (Secondary Outcomes, clinically-based).

Eligibility

Min Age: 13 Years

Plain Language Summary

Simplified for easier understanding

This study trains teachers, principals, and school staff in Darjeeling, India to identify and support students (ages 13–17) who are showing signs of emotional or behavioral problems. The goal is to improve student mental health by building a support system within schools. **You may be eligible if...** - You are a student aged 13–17 who shows signs of emotional or behavioral difficulties on a screening tool - You are a teacher, principal, or guardian at a low-cost private school in the Darjeeling area where families earn less than $10 per day - Teachers and staff must be 18 or older and employed at an enrolled school **You may NOT be eligible if...** - You are a student who does not screen positive for emotional or behavioral problems - Any adult participant has a known history of child maltreatment - The school is not a low-cost private secondary school in the target area 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

BEHAVIORALTealeaf-Mansik Swasta (Tealeaf) as adapted for Adolescents

The investigators will test Tealeaf (Teachers Leading the Frontlines - Mansik Swastha \[Mental Health in Nepali\]) as adapted for adolescents. Tealeaf is a task-shifting intervention in which teachers deliver transdiagnostic mental health care. Created in Darjeeling, Tealeaf centers on training and supervising teachers to deliver "education as mental health therapy" (Ed-MH) to children (age 5-12). Ed-MH is the investigators' novel, task-shifting, therapy modality that minimizes the time teachers need to deliver care by fitting it into their work. In Ed-MH, teachers use evidence-based therapeutic techniques adapted for use in their existing interactions with students in need (e.g., while teaching) and streamlined for care for any diagnosis ("transdiagnostic"). Tealeaf-A's adaptation (inclusive of Ed-MH) is supported by a Doris Duke Charitable Foundation (DDCF), Fund to Retain Clinical Scientists (FRCS), Caregivers at Carolina COVID award.

BEHAVIORALEnhanced Usual Care (EUC)

Enhanced Usual Care (EUC) is a less intensive version of the Tealeaf intervention. The EUC service package has been designed to be the most intensive form of care that could be envisioned as viable in the study setting in the foreseeable future without a significant increase in resource investment.