REstoring Mental Health Through COmmUnity-based Psychological Services in New York City (RECOUP-NY)

George Washington University (GW)

Status: Enrolling

Conditions: PTSD; Depression; Anxiety; Psychological Distress

Treatments: Behavioral: Services as Usual; Behavioral: Problem Management Plus

Study type: Interventional

Funder types: Other

Identifiers

NCT04913766

R01MH127767

Details and patient eligibility

About

The goal is to improve mental health. The study will evaluate the impact of community-based mental health services. Successful completion of this study will contribute to the National Institute of Mental Health Strategic Plan employing implementation science to maximize the public health impact of research for effectiveness and reach of mental health services in the United States.

Full description

There is a need for delivery of psychological interventions by non-specialists when specialists are unable to meet the service demand. In the United States, training staff at community-based organizations to deliver psychological support has been highlighted as a way to increase availability of mental health services and increase access to mental health care, particularly for underserved populations. This study employs a mental health task-sharing model by partnering with community based organizations in New York City to train community based organizations staff without professional mental health training to deliver mental health services. This study examine the impact of community based organizations staff delivering mental health services to reduce mental health problems. This study is a cluster randomized control trial in New York City comparing Services as Usual arm and delivery of mental health services with Problem Management Plus (Intervention arm) among participating community based organizations. The target condition will be general psychological distress. This study will evaluate mental health outcomes populations served by community based organizations integrating Problem Management Plus into their other activities compared to community based organizations delivering services as usual. This study will evaluate implementation science outcomes to inform policy recommendations for of community-based delivery of psychological interventions. Successful completion of these aims will contribute to the 2020 National Institute of Mental Health Strategic Plan. Specifically, a) employing implementation science to maximize the public health impact of research for improving effectiveness and reach of mental health services, b) strengthening research-practice partnerships to expedite adoption, sustained implementation, and continuous improvement of evidence-based mental health services, and c) developing innovative service delivery models to dramatically improve outcomes of mental health services.

Enrollment: 1,000 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Persons with Patient Health Questionnaire 4 scores equal to or above 3
• Functional impairment associated with psychological distress

Exclusion criteria

• Acute suicide risk
• Patient Health Questionnaire 4 score below 3
• No functional impairment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,000 participants in 2 patient groups

Services as usual

Active Comparator group

Description:

Persons screening positive for depression will be referred from community-based organizations. The referrals will be made to mental health specialists who will provide care based on their standard of care.

Treatment:

Behavioral: Services as Usual

Problem Management Plus

Experimental group

Description:

Persons screening positive for depression will be offered Problem Management Plus delivered by community based organization staff.

Treatment:

Behavioral: Problem Management Plus