MOMS Hubs- CT Dept of Social Services Block Grant

Study Overview
=================
Brief Summary
-----------------
The MOMS Partnership aims to create MOMS Zones in New Haven neighborhoods where the hardest to reach families live. These MOMS Zones will have two unique features: (1) a MOMS Hub to deliver centralized mental health and family economic success services to the hardest to reach families living in New Haven's most impoverished neighborhoods, as measured by actual socio-economic status as well as by access to resources; (2) a neighborhood workforce of Community Mental Health Ambassadors (CMHAs--mothers who themselves live in New Haven). The MOMS Workforce Program and MOMS Mental Health Program will be offered at all three Hubs.

Detailed Description
-----------------
The MOMs workforce program will involve teaching, coaching, and supportive services for participants as they navigate their journeys to sustainable employment that pays a family-supporting wage. Participants will be guided through an individualized progression of services designed to increase their employability, to increase their ability to earn higher incomes in career-track employment, and to improve their chances of retaining jobs and advancing in them. The MOMS Mental Health program centers around a manualized Stress Management Course 8-class group treatment, delivered once per week. The course was adapted from The Mother and Child Course by Munoz and Le (2011) for the population of New Haven mothers who are served by the MOMS Partnership.

Official Title
-----------------
MOMS Partnership-Community-Based Hubs for Maternal Mental Health and Workforce Development, New Haven MOMS Partnership- CT Dept of Social Services Block Grant

Conditions
-----------------
Depression

Intervention / Treatment
-----------------
* Behavioral: CBT- Mental Health Program
* Behavioral: MOMS GROW


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion criteria are as follows: Participant is a woman raising a child or adolescent under 18 years of age. The child/adolescent may be her biological offspring or in her custody due to adoption or foster care. Care arrangements may be legally sanctioned or informal, as is common in New Haven families. Thus, the eligible participant may be a sister, aunt, grandmother, or other female responsible for the daily care of children. Participant currently resides within the city limits of New Haven, CT. Participant resided within County of New Haven, CT on October 29, 2012. Participant's income is at or below 325% of the Federal poverty income. Participant is a U.S. citizen. Participant's score on CES-D > 16. Exclusion criteria are as follows: Signs or symptoms of active psychosis or active suicidality will be a basis for exclusion in the study. Lack of proficiency in English.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: CBT- Mental Health Program<br>Cognitive Behavioral Therapy. Manualized Stress Management class; brief individual behavioral counseling. | Behavioral: CBT- Mental Health Program<br>* Manualized Stress Management class; brief individual behavioral counseling.<br>|
| Active Comparator: MOMS GROW<br>MOMS GROW (Generating Real Opportunities for Work) Teaching, coaching, and supportive services for participants as they navigate their journeys to sustainable employment that pays a family-supporting wage. | Behavioral: MOMS GROW<br>* MOMS GROW (Generating Real Opportunities for Work) Teaching, coaching, and supportive services for participants as they navigate their journeys to sustainable employment that pays a family-supporting wage.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement in Center for Epidemiologic Studies Depression (CED-D) Scale | Reduced CES-D Score (CES-D score goal <16) | 6 months | 
| Improvement in work readiness skills | Reduced CASAS score | 6 months |