Harlem Strong Mental Health Coalition

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorCity University of New York, School of Public Health

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

700 Participants
are divided into 3 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