A Mental Health Services Engagement Program for Racial and Ethnic Minority Young Adults
- Conditions
- PsychosisDepressive DisorderBipolar and Related Disorders
- Interventions
- Behavioral: Just Do YouBehavioral: Component CBehavioral: Component ABehavioral: Component B
- Registration Number
- NCT06508450
- Lead Sponsor
- New York University
- Brief Summary
Researchers aim to test a brief culturally-responsive young adult orientation program for community mental health services. They will conduct a 24-month randomized trial with 80 young adults from racial and ethnic minority groups in a community-based mental health clinic.
- Detailed Description
The study objective is to assess the feasibility and acceptability of three new culturally-responsive components added to the brief young adult engagement intervention called Just Do You. The new components incorporate techniques from the DSM-5 Cultural Formulation Interview (CFI) and creative arts therapy to increase culturally-responsive content in Just Do You, which demonstrated evidence of keeping young adults connected to their treatment in a prior trial. Components are designed to elicit relevant cultural characteristics, experiences, and perspectives of diverse young adults enrolled in psychiatric rehabilitation as part of the Just Do You orientation program. The investigators will examine whether the new culturally-responsive components improve engagement in mental health services and increase service utilization.
A total of 80 young adults enrolled in an outpatient psychiatric rehabilitation program in New York will be recruited over 24 months to take part in a randomized full factorial pilot trial. Participants will be given a baseline assessment and randomly assigned to one of eight combinations of intervention components. Just Do You will be delivered first to all participants, with the assigned combination of new components to follow. The intervention will be delivered at the psychiatric rehabilitation program and will last up to five weeks for each participant, depending on the experimental condition. Outcome measures will be assessed at baseline, post-intervention, and 3-month follow up.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 80
- Aged 18-34
- From groups other than non-Hispanic White
- Enrolled in services at the partnering clinic site
- Cognitive impairments (i.e., young adult cannot understand consent process)
- Unable to comprehend and speak English
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description Just Do You-C Component C Just Do You plus Component C Just Do You-A Component A Just Do You plus Component A Just Do You-B Component B Just Do You plus Component B Just Do You-C Just Do You Just Do You plus Component C Just Do You-ABC Component A Just Do You plus Components A B and C Just Do You-ABC Component B Just Do You plus Components A B and C Just Do You-B Just Do You Just Do You plus Component B Just Do You-AC Component C Just Do You plus Components A and C Just Do You-CB Component B Just Do You plus Components C and B Just Do You-AB Component A Just Do You plus Components A and B Just Do You Just Do You Just Do You Core Intervention Just Do You-A Just Do You Just Do You plus Component A Just Do You-AC Just Do You Just Do You plus Components A and C Just Do You-CB Component C Just Do You plus Components C and B Just Do You-ABC Component C Just Do You plus Components A B and C Just Do You-AB Just Do You Just Do You plus Components A and B Just Do You-AB Component B Just Do You plus Components A and B Just Do You-AC Component A Just Do You plus Components A and C Just Do You-CB Just Do You Just Do You plus Components C and B Just Do You-ABC Just Do You Just Do You plus Components A B and C
- Primary Outcome Measures
Name Time Method Participant acceptability questionnaire Immediately after the intervention Self-report measure for assessing intervention acceptability from the perspectives of intervention recipients. Based on the theoretical framework of acceptability. Items are scored from 1 to 5. Possible total scores range from 9 to 45, with higher scores indicating greater acceptability.
Qualitative interviews Immediately after the intervention Interviews with participants to assess acceptability of Components A, B, and C
Intervention adherence Baseline through study completion, an average of 2 years; repeated measure to assess change through study completion Provider reported rate of intervention components completed by participants.
- Secondary Outcome Measures
Name Time Method Service utilization Assessed 3 months after baseline Provider reported service utilization. Total number of contacts between participant and service providers starting 1 month before baseline though 3-month follow up to assess change in participant engagement.
Client Engagement in Child Protective Services Scale Assessed immediately after the intervention and 3 months after baseline This scale is altered to measure young adult engagement in mental health services. The scale includes 8 questions and responses will be summed. The range for the scale is 8 to 40, with higher scores indicating higher levels of engagement.
Trial Locations
- Locations (1)
The Jewish Board
🇺🇸Bronx, New York, United States