REstoring Mental Health Through COmmUnity-based Psychological (RECOUP-NY)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,206
- 试验地点
- 1
- 主要终点
- Psychological Outcome Profiles Questionnaire; Unabbreviated scale title "Psychological Outcome Profiles questionnaire"
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Outcome assessors will not be given information on what intervention services the participants are receiving.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Persons with Patient Health Questionnaire 4 scores equal to or above 3
- •Functional impairment associated with psychological distress
排除标准
- •Acute suicide risk
- •Patient Health Questionnaire 4 score below 3
- •No functional impairment
研究组 & 干预措施
Services as usual
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.
干预措施: Services as Usual (Behavioral)
Problem Management Plus
Persons screening positive for depression will be offered Problem Management Plus delivered by community based organization staff.
干预措施: Problem Management Plus (Behavioral)
结局指标
主要结局
Psychological Outcome Profiles Questionnaire; Unabbreviated scale title "Psychological Outcome Profiles questionnaire"
时间窗: 20 weeks after baseline assessment
4-item self-report questionnaire that is a personalized measure of psychological distress.
次要结局
- Patient Health Questionnaire 9; Unabbreviated scale title "Patient Health Questionnaire 9"(20 weeks after baseline assessment)
- Generalized Anxiety Disorder 7; Unabbreviated scale title "Generalized Anxiety Disorder 7"(20 weeks after baseline assessment)
- Posttraumatic Stress Disorder Checklist 5; Unabbreviated scale title "Posttraumatic Stress Disorder Checklist 5"(20 weeks after baseline assessment)
- World Health Organization Disability Assessment Schedule; Unabbreviated scale title "World Health Organization Disability Assessment Schedule"(20 weeks after baseline assessment)
研究者
Brandon A Kohrt, MD, PhD
Professor
George Washington University