Harlem Strong Mental Health Coalition

Summary

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.

Conditions

• Stress-related Problem
• Depression, Anxiety
• Mental Health Wellness

Interventions

BEHAVIORAL

MH task-sharing training

Providers will be trained to screen for MH, provide education, refer, and coordinate to range of social services. MH training typically consists of education and resources, such as one-time workshops and toolkits, provided with limited technical assistance.

BEHAVIORAL

Supervision

Additionally, Community Health Workers (CHWs) will receive bi-weekly group supervision for the first 6-months, and monthly supervision for the remaining year on Zoom from a supervisor at Center for Innovation in Mental Health.

BEHAVIORAL

Learning Collaborative

A learning collaborative with multidisciplinary teams from various healthcare organizations will support continuous quality improvement and develop develop structured approach to improve provision of care.

OTHER

Technology Intervention

To be determined by community crowdsourcing after the first phase of implementation of the multisector collaborative care for MH task-sharing.

Sponsors & Collaborators

• Harlem Congregation for Community Improvement, Inc.

  collaborator UNKNOWN

• Healthfirst

  collaborator OTHER

• City University of New York, School of Public Health

  lead OTHER

Principal Investigators

• Victoria K Ngo, PhD · City University of New York

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Model

CROSSOVER

Eligibility

Min Age

18 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2023-04-05

Primary Completion

2026-06-30

Completion

2026-08-31

Countries

• United States

Study Locations