About this trial
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
Qualifiers
Black and Latino adults between 18 and 65 years
Harlem residents from low-income housing developments or receiving primary care services in Harlem
PHQ-4 Total Score ≥3, moderate risk for depression
Disqualifiers
Those with risk for depression or anxiety who screen positive for severe mental illness (e.g., psychosis, mania, substance abuse, and high suicide risk) using screening items from the Mini-International Neuropsychiatric Interview will be excluded from the study and referred to MH services at higher levels of care
Trial design
Treatments tested in this trial
- MH task-sharing training
- Supervision
- Learning Collaborative
- Technology Intervention
Treatment groups
Sponsors and collaborators
City University of New York, School of Public Health
Lead sponsor
Harlem Congregation for Community Improvement, Inc.
Collaborator
Healthfirst
Collaborator