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| ID | Type | Description | Link |
|---|---|---|---|
| 1U01MD019540-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
| The University of Texas at Arlington | OTHER |
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The investigators suggest a multi-step approach to improve access to mental health care for minority groups. The plan focuses on three goals: increasing diversity in the mental health workforce, bringing more expertise into the community, and strengthening the community's ability to address the factors that impact mental health.
To do this, the TEACH study team will work with students from underrepresented racial and ethnic groups at a minority-serving school. Students will be provided the opportunity to obtain their CHW Certification while receiving course credit for their degree. Students will then be eligible to participate in an internship to utilize their skills. The TEACH study team will help these students with their training, supervision, and ongoing support. These students will then be able to work with their communities to tackle common mental health issues and the social factors that contribute to those problems.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EMPOWER-trained CHWs | Experimental | Undergraduate students at the University of Texas at Arlington will engage in a semester-long course for training of students as CHWs with additional EMPOWER training for delivering a brief trans-diagnostic psychosocial intervention. CHW certified students will then engage in an internship at Baylor Scott and White Health. |
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| Non-EMPOWER-trained interns | No Intervention | Intern health workers who have not undergone the EMPOWER training curriculum will engage in an internship at Baylor Scott and White Health. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| A semester-long course for training of students as CHWs with additional EMPOWER training for delivering a brief trans-diagnostic psychosocial intervention. | Other | Students will participate in a special topics course resulting in a CHW certification with the state of Texas. The course will focus on behavioral activation interventions. Undergraduate Bachelor of Social Work (BSWs) students will then be deployed to the health system as certified CHWs with mental health training to provide a sufficient level of care for many, and an entry point to clinical care for those who have needs that are currently unaddressed. |
| Measure | Description | Time Frame |
|---|---|---|
| Job Placement | Data collected regarding career placement and/or further educational pursuits (i.e. MSW) | 12 months after the intervention has ended |
| Measure | Description | Time Frame |
|---|---|---|
| Depression | Patient Health Questionnaire 9 - Scores range from 0-27. Higher scores indicates that major depressive disorder is likely. | Baseline, an average of 5 months after the start of the intervention, and immediately after the intervention, an average of 10 months |
| Post-traumatic Stress Disorder |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Katherine Sanchez, PhD, LCSW | Baylor Scott and White Health | Principal Investigator |
| Ann Marie Warren, PhD, ABPP-RP | Baylor Scott and White Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baylor Scott and White Research Institute | Dallas | Texas | 75204 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Miller B, Burgos A. Enhancing the Capacity of the Mental Health and Addiction Workforce: A Framework. 2021. www.scattergoodfoundation.org | ||
| 33421650 | Background | Naslund JA, Tugnawat D, Anand A, Cooper Z, Dimidjian S, Fairburn CG, Hollon SD, Joshi U, Khan A, Lu C, Mitchell LM, Muke S, Nadkarni A, Ramaswamy R, Restivo JL, Shrivastava R, Singh A, Singla DR, Spiegelman D, Bhan A, Patel V. Digital training for non-specialist health workers to deliver a brief psychological treatment for depression in India: Protocol for a three-arm randomized controlled trial. Contemp Clin Trials. 2021 Mar;102:106267. doi: 10.1016/j.cct.2021.106267. Epub 2021 Jan 6. | |
| 31236800 |
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Diagnostic and Statistical Manual 5 PTSD Checklist - Scores range from 0-80 where higher scores indicate more severe PTSD symptoms |
| Baseline, an average of 5 months after the start of the intervention, and immediately after the intervention, an average of 10 months |
| Primary Care Visits | Healthcare Utilization - Number of primary care visits | Immediately after the intervention, an average of 10 months |
| Anxiety | Generalized Anxiety Disorder 7 - Scores range from 0-21, where higher scores indicate more severe anxiety | Baseline, an average of 5 months after the start of the intervention, and immediately after the intervention, an average of 10 months |
| Behavioral Health Visits | Number of Behavioral Health Visits | Immediately after the intervention, an average of 10 months |
| Quality of Behavioral Health Visits | Description of the quality of any behavioral health visits | Immediately after the intervention, an average of 10 months |
| Acute Hospital Stays | Number of acute hospitalizations | Immediately after the intervention, an average of 10 months |
| Emergency Department Stays | Number of emergency department visits | Immediately after the intervention, an average of 10 months |
| Background |
| Ma A, Sanchez A, Ma M. The Impact of Patient-Provider Race/Ethnicity Concordance on Provider Visits: Updated Evidence from the Medical Expenditure Panel Survey. J Racial Ethn Health Disparities. 2019 Oct;6(5):1011-1020. doi: 10.1007/s40615-019-00602-y. Epub 2019 Jun 24. |
| 21681459 | Background | Chao PJ, Steffen JJ, Heiby EM. The effects of working alliance and client-clinician ethnic match on recovery status. Community Ment Health J. 2012 Feb;48(1):91-7. doi: 10.1007/s10597-011-9423-8. Epub 2011 Jun 17. |
| 24191093 | Background | Hoge MA, Stuart GW, Morris J, Flaherty MT, Paris M Jr, Goplerud E. Mental health and addiction workforce development: federal leadership is needed to address the growing crisis. Health Aff (Millwood). 2013 Nov;32(11):2005-12. doi: 10.1377/hlthaff.2013.0541. |