Peer-Delivered Behavioral Activation in a CCBHC

Hybrid Effectiveness-Implementation Trial to Evaluate a Scalable, Peer-Delivered Intervention for Depression Among People With Substance Use Disorder in a Certified Community Behavioral Health Clinic

Low-income individuals have limited access to evidence-based interventions for mental health. Peer recovery specialists, individuals in recovery from mental health and/or substance use problems, have the potential to increase access to evidence-based interventions for individuals from low-resource communities, particularly when trained and supervised in models that are acceptable and feasible in these communities. This study will examine the effectiveness and implementation potential of a peer-delivered evidence-based intervention (Behavioral Activation) among individuals receiving services from a community-based treatment setting providing integrated physical and behavioral healthcare.

Inclusion Criteria:

• Age 18 years old or older
• Report clinically-significant symptoms of depression, as indexed by a score of 8+ on the PHQ-9.

Exclusion Criteria:

• Active, under treated psychotic symptoms or mania that would interfere with participation in study procedures
• Inability to provide informed consent and/or complete procedures in English