Training Community Members in Mental Health First Aid
Conditions: Stigma
Sponsor: Research Foundation for Mental Hygiene, Inc.

Protocol Summary Form 
7224 Hankerson , Sidney 
Page 1 of 16 
Protocol Title: 
Training Church Leaders in Mental Health 
First Aid 
Protocol Number: 
7224 
First Approval: 
12/28/2015 
Expiration Date: 
12/27/2018 
Version Date: 
06/29/2018 
Contact Principal Investigator: 
Sidney Hankerson , MD 
Email: hankerss@nyspi.columbia.edu 
Telephone: 646-774-6429 
Research Chief: 
Myrna Weissman, PHD 
Cover Sheet 
Choose ONE option from the following that is applicable to your study 
If you are creating a new protocol, select "I am submitting a new protocol." As 5 Year Renewals are no 
longer required, this option remains for historical purposes. I am proposing an amendment only to an 
existing protocol 
Division & Personnel 
Division 
What Division/Department does the PI belong to? 
Psychiatry 
Within the division/department, what Center or group are you affiliated with, if any? Epidemiology 
Unaffiliated Personnel 
List investigators, if any, who will be participating in this protocol but are not affiliated with New York 
State Psychiatric Institute or Columbia University. Provide: Full Name, Degrees and Affiliation. 
  
Chih Hsu, B.S.N., Outreach and Wellness Nurse; Columbia Doctors/ Zuckerman Institute Nohemy 
Aguirre, B.S., Outreach and Wellness Officer; Columbia Doctors/Zuckerman Institute 

Page 2 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
  
  
Amendment 
Describe the change(s) being made  
1. The telephone script used for participant recruitment has been updated and made more comprehensive. 
2. A RSVP confirmation script has been incorporated to the PSF and will be used to make confirmation 
calls to participants that have RSVP’d for the Mental Health First Aid training.  
3. The thank you email and the email script for mental health referrals have been modified.  
4. The post-training surveys (M3 and Z3) have been updated and the order of the questions have been 
reversed. The first set of questions ask participants about their health and second set of questions presents 
participants with a vignette.  
5. The 3-month follow-up email script has been updated and made more comprehensive. 
6. The telephone script and the questions for the post-training follow up interviews have been attached to 
this PSF.  
7. The language on the consent form has been changed from “Church leaders” to “Community Members”. 
Provide the rationale for the change(s)  
These changes are being made in order to make email and telephone scripts for participants more 
comprehensive. Contact information and signatures have been updated to reflect research personnel 
changes. A RSVP confirmation script has been incorporated to the PSF and will be used to make reminder 
calls to participants that have RSVP'd to the Mental Health First Aid training.  
  
The post training surveys have been updated and the order of the questions have been reversed. We believe 
that reversing the order of the questions will reduce survey fatigue and increase survey completion rates.  
  
The questions for the post-training follow up interviews have been attached to this PSF for IRB review.  
  
The language on the consent form has been revised to reflect the expansion of the subject population from 
Church Leaders to community members.   
Comment on the extent to which the proposed change(s) alter or affect risks/benefits to subjects These 
proposed changes do not alter or affect risks/benefits to subjects.  
Comment on if the proposed change(s) require a modification to the Consent Form (CF) 

Page 3 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
The language in the consent form has been changed from "Church Leaders" to "Community Members" to 
reflect the populations that is being trained in Mental Health First Aid.  
Procedures 
To create the protocol summary form, first indicate if this research will include any of the following 
procedures 
   Quality Improvement/Program Evaluation Only    
Audio or Videotaping 
Population 
Indicate which of the following populations will be included in this research 
   Adults 
   Adults over 50 
Research Support/Funding 
Will an existing internal account be used to support the project? 
Yes 
Describe internal account 
1849 
Is the project externally funded or is external funding planned? 
Yes 
Select the number of external sources of funding that will be applicable to this study 
Funding Source #1 
Is the PI of the grant/contract the same as the PI of the IRB protocol?  
Yes 
Select one of the following 
The grant/contract is currently funded 
Source of Funding 
Federal 
Institute/Agency 
NIMH 
Grant Name 
Patient Oriented Career Development Award (K23) 
Grant Number 

Page 4 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
K23 MH102540  
Select one of the following 
Single Site 
Business Office 
RFMH 
Does the grant/contract involve a subcontract?  
No 
Study Location 
Indicate if the research is/will be conducted at any of the following 
   
NYSPI 
This protocol describes research conducted by the PI at other facilities/locations 
Yes 
   Community Sources 
Community Sources 
Type in location(s) 
First Corinthian Baptist Church  
1912 Adam Clayton Powell Jr Blvd 
New York, NY 10026 
(212) 864-5976  
   
Church of St. Charles Borromeo 
211 West 141st Street 
New York, NY 10030 
(212) 281-2100  
  
Columbia Zuckerman Community Wellness Center 
610 West 130th Street 
New York, NY 10027  
  
The Dream Center ( http://www.dreamcenterharlem.org/ ) is a community center affiliated and owned by the 
First Corinthian Baptist Church. It is located at 205 West 119th Street New York, NY 10026  
  

Page 5 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
Lay Summary of Proposed Research  
Lay Summary of Proposed Research 
The overall goal of this study is to test the feasibility and acceptability of training Church Leaders in Mental 
Health First Aid.  This study leverages the trusted role of churches in the African American community. 
Mental Health First Aid (MHFA) is a groundbreaking public education program which introduces 
participants to risk factors and warning signs of mental health problems, builds understanding of their 
impact, and overviews common treatments. MHFA is an 8-hour course, which uses role-playing and 
simulations to demonstrate how to assess a mental health crisis; select interventions and provide initial help; 
as well as connect persons to professional, peer, social, and self-help care. The program also teaches about 
the risk factors and warning signs of specific illnesses like anxiety, depression, schizophrenia, bipolar 
disorder, eating disorders, and addictions.  
  
  
Background, Significance and Rationale 
Background, Significance and Rationale 
African American adults are less likely to seek mental health treatment than their white adult counterparts.  
Various factors contribute to racial disparity including, high attrition rates, distrust of providers, and stigma. 
Church-Based Health Promotion (CBHP) has potential to address non-financial barriers to mental health 
care among African Americans given churches’ position as trusted, frequently attended institutions in the 
black community.  
  
My prior qualitative research (IRB Protocol #6368 and #6909) identified a desire by African American 
church leaders to receive training in the sign / symptoms of common mental disorders, how to intervene in a 
mental health crisis, and how to encourage people to seek mental health care. Unfortunately, limited 
research examines such strategies in faith-based settings. This study is designed to utilize a train 
community-based participatory approach to train Church Leaders in Mental Health First Aid (MHFA).  
  
Mental Health First Aid is a public education program that introduces participants to the risk factors and 
warning signs of mental health problems, builds an understanding of the importance of early intervention, 
and overviews common supports. This 8-hour course uses role-playing and simulations to demonstrate how 
to offer initial help in a mental health or substance use crisis through a 5-step action plan, with the ultimate 
goal to connect persons to appropriate professional, peer, social, and self-help care. The program also 
teaches the common risk factors and warning signs of specific types of illnesses like anxiety, depression, 
substance use, bipolar disorder, eating disorders, and schizophrenia. Participants are introduced to local 

Page 6 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
mental health resources, national organizations, support groups, and online tools for mental health and 
addictions treatment and support.  
  
Mental Health First Aid USA is listed in the Substance Abuse and Mental Health Services Administration’s  
National Registry of Evidence-based Programs and Practices. Originating in Australia in 2001, Mental  
Health First Aid has since expanded to more than 20 countries. The National Council for Behavioral  
Health, in partnership with Missouri and Maryland state departments of mental health, introduced Mental 
Health First Aid in the United States in 2008. To date, more than 160 thousand individuals have been 
certified as Mental Health First Aiders.  
  
The MHFA curriculum uses role-playing and simulations to demonstrate how to assess a mental health 
crisis; select interventions and provide initial help; and connect persons to professional, peer and social 
supports as well as self-help resources.  
  
  
Specific Aims and Hypotheses 
Specific Aims and Hypotheses 
Specific Aims and Hypotheses 
Aim 1: To evaluate the feasibility and acceptability of a CPPR informed model to train Church Leaders in 
Mental Health First Aid (MHFA). 
Hypothesis 1:  Feasibility and acceptability will be demonstrated by Church Leaders attending 
MHFA training sessions, completion of pre- and post- measures to assess mental health literacy, and a 
posttraining evaluation. 
Description of Subject Population 
Sample #1 
Specify subject population 
Community Members 
Number of completers required to accomplish study aims 
400 
Projected number of subjects who will be enrolled to obtain required number of completers 
430 

Page 7 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
Age range of subject population 
21 years and older 
Gender, Racial and Ethnic Breakdown 
Community Members (N = 400) 
Male - 80 
Female - 320 
Hispanic - 12 
American Indian/Alaska Native - 0 Asian - 0 
Black or African American - 380 
Native Hawaiian or Other Pacific Islander - 0 
White - 8 
Description of subject population 
We've consolidated to one subject population called "Community Members".   This includes participants 
who we previously referred to as Church Goers.  These participants will be recruited from First Corinthian 
Baptist Church, which has approximately 10,000 members (80% African American). The church is located 
in Central Harlem, in the borough of Manhattan. African Americans comprise 87% of the population in 
Central Harlem, making it the largest African American population in New York City by percentage. 
  
Community members will also include church leaders and lay participants from all listed study sites. This 
will include any adult who meets study eligibility criteria and consents to take the MHFA training at one 
of our approved study sites.  Examples of community study sites are NYSPI and the Columbia 
University Wellness Center. 
Recruitment Procedures 
Describe settings where recruitment will occur 
First Corinthian Baptist Church has a congregational size of roughly 10,000 members (80% African 
American). 
1912 Adam Clayton Powell Jr Blvd 
New York, NY 10026 
(212) 864-5976 
  
St. Charles Borromeo has a congregational size of roughly 800 members (90% African American). 
Church of St. Charles Borromeo 

Page 8 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
211 West 141st Street 
New York, NY 10030 
(212) 281-2100 
How and by whom will subjects be approached and/or recruited?  
We will recruit a purposive sample of community members to be trained in MHFA. The PI and Research 
Personnel will contact community members via phone, email, and in-person correspondence to recruit them 
for training in MHFA.  A standardized script will be used.  We will also utilize the flyer titled "Mental 
Health First Aid USA" as recruitment materials to describe the study to prospective participants. 
Participants that RSVP for the training will be contacted via phone two days before the training to 
confirm their availability. A standardized script will be used for these calls.  
  
We will also use a snowball sampling strategy as follows.  Within two weeks of each training, we will send 
these fully consented participants a thank you note expressing our gratitude for their participation. We will 
also ask them to share a Google Link about future training to anyone whom they think might have an 
interest in becoming trained in Mental Health First Aid.   
  
During community recruitment efforts we have received feedback that a large portion of community 
members are monolingual Spanish speakers. While this research protocol does not provide Spanish speaking 
Mental Health First Aid training, our English information sheet has been translated to Spanish to provide 
community resources for this population. The translated information sheet provides Spanish-speakers with 
information about Mental Health First Aid and the contact information for the Spanish-speaking Project 
Coordinator. Spanish-speakers will be referred to the Department of Health and Mental Hygiene where they 
will be connected to linguistically appropriate Mental Health First Aid trainings.  
How will the study be advertised/publicized?  
There will be no public advertising for training Church Leaders in MHFA. The PI and Research Personnel 
contact church leaders via phone, email, and in-person correspondence to recruit them for training in 
MHFA.  We have included telephone and email scripts. 
Do you have ads/recruitment material requiring review at this time? Yes 
Does this study involve a clinical trial? 
No 
Concurrent Research Studies 
Will subjects in this study participate in or be recruited from other studies?  
Yes 
Describe concurrent research involvement 
Participants who were previously involved in either IRB Protocol #6909 (Needs Assessment for Church- 
Based Mental Health Services) or #6975 (Community Partnered Approach to Implement EBPs for  

Page 9 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
Depression) will be eligible to participate in this study.  A ward-off letter will be sent to potential subjects 
prior to approaching them for recruitment of this study. 
  
Community members who were not involved in my prior studies will also be eligible to participate in this 
study and receive training in Mental Health First Aid.  
Inclusion/Exclusion Criteria 
Name the subject group/sub sample 
Community Members 
Create or insert table to describe the inclusion criteria and methods to ascertain them 
 Inclusion 
 Method of Ascertainment 
Must be 21 years or older 
Self Reported 
Must be English Speaking 
Self Reported 
Able to give informed consent 
Signed Consent Form
Create or insert table to describe the exclusion criteria and methods to ascertain them 
Exclusion 
Method of Ascertainment 
Any significant medical condition 
compromising 
Clinician Judgement noted ability to 
participate 
Inability to give informed consent 
Clinician Judgement noted ability to 
participate 
Waiver of Consent/Authorization 
Indicate if you are requesting any of the following consent waivers 
Waiver of consent for use of records that include protected health information (a HIPAA waiver of 
Authorization)  
No 
Waiver or alteration of consent 
No 
Waiver of documentation of consent  
No 
Waiver of parental consent  
No 
Consent Procedures 
Is eligibility screening for this study conducted under a different IRB protocol? 

Page 10 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
No 
Describe procedures used to obtain consent during the screening process  
The PI or designated research personnel will contact community members by e-mail, phone, or in-
person meetings to review the study design and rationale.  Research personnel will answer any 
questions potential subjects have, and then ask if they are interested in volunteering to participate 
in MHFA training. 
Describe Study Consent Procedures 
Research personnel will meet community members at a mutually agreed upon location, either the 
church or NYSPI.  Research personnel will review the consent form with each community member. 
Interested community members will then sign informed consent, in a confidential, private location, and 
complete the demographic sheet.  Once all community members have signed consent, they will meet 
collectively to take the MHFA training course as a group. 
Indicate which of the following are employed as a part of screening or main study consent procedures    
Consent Form 
   Information Sheet 
Persons designated to discuss and document consent 
Select the names of persons designated to obtain consent/assent ahmad-
llewellyn, Jaylaan 
Hankerson , Sidney, MD 
Harris, Ivyonne 
Lewis-Fernandez, Roberto, MD 
Miller-Sethi, Faith 
Mitchell, Lorena 
Morris, La'Shay S., MPH 
Murphy, Eleanor, PHD 
Ntoso, Amma 
Ojeda, Jesse 
Payne, Jennifer 
Pienkowski, Stefan rule, 
alana, BA Santiago, 
Emely 
Svob, Connie 
Williams, Maya 
Type in the name(s) not found in the above list 
Chih Hsu, B.S.N., Outreach and Wellness Center Nurse; Columbia Doctors and Zuckerman Institute 
  
Nohemy Aguirre, B.S., Outreach and Wellness Officer; Columbia Doctors and Zuckerman Institute 

Page 11 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
  
Tatiana Mercedes  
Study Procedures 
Describe the procedures required for this study 
Mental Health First Aid (MHFA) is an evidence-based, 8-hour, public educational program that has been 
found to improve people’s recognition of emotional and mental health challenges and to increase people’s 
confidence in providing help to others. MHFA training can take place during either a one-day, 8-hour 
training session or as a two-day, 4-hour training session program. Trainings will also be conducted by IRB- 
approved study personnel.  Trainings will also be delivered by Steve Alexander, a certified MHFA 
instructor.  The content of the training is the same regardless of whether the one-day or two-day format is 
used. The dates of delivering the training modules will be determined collaboratively by Church Leaders 
and academicians. 
  
The trainings will take place at one of the IRB-approved study sites (First Corinthian Baptist Church, St. 
Charles Borromeo, Columbia University Wellness Center or the Dream Center).  
  
After signing informed consent, participants will complete a pre-test on mental health literacy.  
  
In the Mental Health First Aid course, participants will learn risk factors and warning signs for mental 
health and addiction concerns, strategies for how to help someone in both crisis and non-crisis situations, 
and where to turn for help. Participants will also learn a 5-step action plan ALGEE, for individuals to 
provide help to someone who may be in crisis.  
  
Mavis Flowers will be authorized to facilitate the MHFA course.  She has completed CITI training.  She 
will not obtain consent. 
  
• Assess for risk of suicide or harm  
• Listen non-judgmentally  
• Give reassurance and information  
• Encourage appropriate professional help  
• Encourage self-help and other support strategies  
  
After the course, participants will take a post-test on mental health literacy and training course evaluation. 
Participants will use a new training course evaluation form that is in a bubble format so that data collected 
during the Mental Health First Aid training can be read by a computer.  
  

Page 12 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
Within two weeks of each training, we will send these fully consented participants a thank you note 
expressing our gratitude for their participation. We will ask them to share a Google Link about future 
training to anyone whom they think might have an interest in becoming trained in Mental Health First Aid.   
  
In 1-14 days after the training, participants will be randomly selected for a follow-up interview. The purpose 
of the interview will be to assess participants' views on the MHFA training, how it could be improved, and 
topics for additional training. We will ask participants the convenient way for us to contact them (phone, 
email, mailing address, etc.) for the interview and 3-month follow-up evaluation.  
  
At 3 months, participants will be contacted by the RA to take a follow-up evaluation. Participants will be 
able to take the 3-month evaluation by one of three methods: 1) email; 2) in-person at the church; and 3) 
over the telephone.  
  
For participants who take the evaluation via email, Participants will be sent an email with a unique research 
identifier, that provides them the link to the Qualtrics evaluation survey. The email we send to each research 
participant will thank them again for their participation in the training and request their completion of the 
follow-up survey.  Participants will also be reminded that we will send them a $25 gift card as a token of our 
appreciation for their time upon our receipt of their completed survey. 
  
For participants who take the evaluation in-person at the church, Research Staff will schedule a time to meet 
the person at the church. Research Staff will escort the participant to a private room in the church to 
facilitate privacy. The participant will then complete the assessment and Research Staff will assist with any 
questions that participants have.  
  
For participants who take the evaluation over the telephone, Research Staff will contact the participant to 
schedule a time that is convenient for them. Research Staff will then contact the participant and ask the 
questions over the telephone and record the participants' responses. 
  
  
You can upload charts or diagrams if any 
Assessment Instruments 
Create a table or give a brief description of the instruments that will be used for assessment 
1) Pre-Course Questionnaire (Depression and Schizophrenia vignettes) 
2) Post-Course Questionnaire (Depression and Schizophrenia vignettes) 
3) Official MHFA Course Evaluation Form 
4) 3-Month Follow-up Questionnaire 
5) Participant Interview Question Guide 

Page 13 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
Please attach copies, unless standard instruments are used 
Depression (M3)_FOLLOW UP Questionnaire_ MHFA Training 6.27.2018.pdf 
Schizophrenia (Z3 FOLLOW-UP Questionnaire 6.27.18.pdf 
INTERVIEW QUESTIONS Post-Course_Training MHFA 6.27.18.pdf 
Research Related Delay to Treatment 
Will research procedures result in a delay to treatment? 
No 
Treatment to be provided at the end of the study 
No treatment to be provided at the end of the study 
No treatment is provided as part of the MHFA training. However, referrals for mental health professionals 
will be provided if participants express a desire to seek care. 
  
Dr. Hankerson will meet with participants who express a desire for a referral to mental health treatment. He 
and his staff, Emely Santiago, MSW, and Dr. Faith Miller-Sethi will share the uniform-email response 
referring individuals to NYC WELL, Suicide Lifeline, the First Corinthian Baptist Church HOPE 
Center, and the online Psychology Today clinician finder.  All participants will receive a copy of the 
New York Presbyterian Community Mental Health directory. Dr. Hankerson will also utilize several 
online resources – www.bpgny.org and www.hitesite.org – to provide information for referrals based on 
low-cost clinic availability and the patient’s insurance status. 
  
  
Dr. Hankerson will also provide his professional contact information so participants can follow-up him in 1 
week following the training to see if they were connected and / or are still interested in receiving care. 
Risks/Discomforts/Inconveniences  
Risks that could be encountered during the study period 
Participation in this study has minimal anticipated risks. The 8-hour training MHFA training sessions and 
assessments are somewhat time consuming; participants may become tired. 
During MHFA training sessions, we will schedule regular breaks and snacks for participants. If any of the 
material in the MHFA training is upsetting, we will have mental health treatment referrals available. 
Describe procedures for minimizing risks 
Participants reserve the right not to answer certain questions or to suspend their participation in the study. At 
the completion of the training all participants will be directed to discuss any concerns with Dr. Hankerson or 
a member of his research staff before they leave the church.  

Page 14 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
Participants are provided times for breaks as well as lunch breaks, with free food provided. 
Methods to Protect Confidentiality 
Describe methods to protect confidentiality 
Participants’ confidentiality will be protected in the MHFA Training Group sessions by the following 
methods: 
1) 
Prior to MHFA training, the MHFA Instructor will inform participants that any personal information 
shared by other participants should be kept confidential. 
2) 
The MHFA Instructor will inform participants that if they have any private / confidential issues they 
would like to discuss, Dr. Hankerson will be available to discuss with them privately. 
3) 
Dr. Hankerson will provide all participants with his professional email 
(hankerss@nyspi.columbia.edu) and his professional telephone number (646-774-6429). He will inform 
participants that they can contact him if they would like to discuss anything that they would not like to 
discuss in front of other participants. 
  
4) 
Participants identification will be protected in the Qualtrics evaluation survey because each 
participant will have a unique identification number. 
  
5) 
Participants' phone numbers and addresses will be stored on a password protected desk computer.  
Participants's names will be replaced with unique study identifier to further protect their identity. 
  
In addition, participant confidentiality to the extent permitted by law will be ensured by the following 
means: 
  
*Each study participant will receive a code number through which all study data will be linked. The 
code will only be known by the Principal Investigator (Sidney Hankerson, MD) and the research 
team. 
*Participant names, code numbers, and study data will be kept in a single locked file, accessible 
only to key personnel working on the study. 
*Information stored on the computer will be coded numerically. 
*All study data will be reported in tabular/group format while no individual data will be reported. 
*Records will only be available to research staff, and State and Institutional regulatory personnel, 
who may review records as part of routine audits. 
*Legal advocacy organizations that have the authority under state law can access confidential 
subject records, but cannot re-disclose this information without participant consent.  

Page 15 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
Will the study be conducted under a certificate of confidentiality? 
No 
Direct Benefits to Subjects   
Direct Benefits to Subjects 
Participants may benefit from this study by discussing the results of the interviews with the researcher. This 
research may help participants learn how to deal with stress and how the church can be utilized to provide 
mental health training for its members. 
Compensation and/or Reimbursement  
Will compensation or reimbursement for expenses be offered to subjects? 
Yes 
Please describe and indicate total amount and schedule of payment(s).  
Include justification for compensation amounts and indicate if there are bonus payments. 
Research participants will receive a $25 Gift card at two separate time points.  The first Gift Card will 
be distributed immediately after completing the MHFA course.  The second Gift Card will be 
distributed 3-months after the course upon completion of either the follow-up survey or the telephone 
interview. 
  
Participants will also be provided a catered breakfast and lunch for free. 
References 
References 
1. 
Kitchener BA, Jorm AF. Mental health first aid training for the public: evaluation of effects 
onknowledge, attitudes and helping behavior. BMC Psychiatry. 2002 Oct 1;2:10. 
2. 
Kitchener BA, Jorm AF. Mental health first aid training in a workplace setting: a randomized 
controlled trial. BMC Psychiatry. 2004 Aug 15;4:23. 
3. 
Reavley NJ, McCann TV, Cvetkovski S, Jorm AF. A multifaceted intervention to improve mental 
health literacy in students of a multicampus university: a cluster randomised trial. Soc Psychiatry Psychiatr 
Epidemiol. 2014 Oct;49(10):1655-66. 
4. 
Hankerson SH, Fenton MC, Geier TJ, Keyes KM, Weissman MM, Hasin DS. Racial differences 
insymptoms, comorbidity, and treatment for major depressive disorder among black and white adults. J Natl 
Med Assoc. Jul 2011;103(7):576-584. 
5. 
Gonzalez HM, Vega WA, Williams DR, Tarraf W, West BT, Neighbors HW. Depression care in 
theUnited States: too little for too few. Arch Gen Psychiatry. Jan 2010;67(1):37-46. 

Page 16 of 16 
Protocol Summary Form 
7224 
Hankerson , Sidney 
6. 
Williams DR, Gonzalez HM, Neighbors H, et al. Prevalence and distribution of major depressive 
disorder in African Americans, Caribbean blacks, and non-Hispanic whites: results from the National 
Survey of American Life. Arch Gen Psychiatry. Mar 2007;64(3):305-315. 
7. 
Warden D, Rush AJ, Wisniewski SR, et al. Income and attrition in the treatment of depression: 
aSTAR*D report. Depress Anxiety. 2009 2009;26(7):622-633. 
8. 
Nicolaidis C, Timmons V, Thomas MJ, et al. "You don't go tell White people nothing": African 
American women's perspectives on the influence of violence and race on depression and depression care.  
Am J Public Health. Aug 2010;100(8):1470-1476. 
9. 
Menke R, Flynn H. Relationships between stigma, depression, and treatment in white and 
AfricanAmerican primary care patients. J Nerv Ment Dis. 2009 2009;197(6):407-411. 
10. 
DeHaven MJ, Hunter IB, Wilder L, Walton JW, Berry J. Health programs in faith-based 
organizations: are they effective? Am J Public Health. Jun 2004;94(6):1030-1036. 
  
Uploads 
Upload the entire grant application(s) 
Upload copy(ies) of unbolded Consent Form(s) 
CONSENT FORM #7224 UNBOLDED_6_27_18.pdf 
Upload copy(ies) of bolded Consent Form(s) 
CONSENT FORM #7224 BOLDED_6_27_18.pdf 
Upload copy(ies) of unbolded Information Sheet(s) 
Upload copy(ies) of bolded Information Sheet(s) 
Upload copy(ies) of recruitment materials/ads to be reviewed 
Telephone Script for MHFA recruitment 6.27.18.pdf 
RSVP Confirmation Script 6.27.18.pdf 
Thank you message for SNOWBALL SAMPLING 6.27.2018.pdf 
Upload copy(ies) of the HIPAA form 
Upload any additional documents that may be related to this study 
Email script for 3 MONTH FOLLOW-UP SURVEY V. 6.27.18 (2).pdf 
Email Script for Mental Health REFERRALS 6.27.2018.pdf 
SCRIPT for Post-Training Interview Questions 6.27.2018.pdf