Clinical trial NCT06508450: A Mental Health Services Engagement Program for Racial and Ethnic Minority Young Adults
Official title: Adapting and Testing A Mental Health Services Engagement Program for Racial and Ethnic Minority Young Adults
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Psychosis
Bipolar and Related Disorders
Depressive Disorder
Lead sponsor: New York University
Sponsor class: OTHER
First posted: 2024-07-18
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Maximum age (years): 34
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: OTHER

Brief summary: Researchers aim to test a brief culturally-responsive young adult orientation program for community mental health services. They will conduct a 24-month randomized trial with 80 young adults from racial and ethnic minority groups in a community-based mental health clinic.

Detailed description: The study objective is to assess the feasibility and acceptability of three new culturally-responsive components added to the brief young adult engagement intervention called Just Do You. The new components incorporate techniques from the DSM-5 Cultural Formulation Interview (CFI) and creative arts therapy to increase culturally-responsive content in Just Do You, which demonstrated evidence of keeping young adults connected to their treatment in a prior trial. Components are designed to elicit relevant cultural characteristics, experiences, and perspectives of diverse young adults enrolled in psychiatric rehabilitation as part of the Just Do You orientation program. The investigators will examine whether the new culturally-responsive components improve engagement in mental health services and increase service utilization.

A total of 80 young adults enrolled in an outpatient psychiatric rehabilitation program in New York will be recruited over 24 months to take part in a randomized full factorial pilot trial. Participants will be given a baseline assessment and randomly assigned to one of eight combinations of intervention components. Just Do You will be delivered first to all participants, with the assigned combination of new components to follow. The intervention will be delivered at the psychiatric rehabilitation program and will last up to five weeks for each participant, depending on the experimental condition. Outcome measures will be assessed at baseline, post-intervention, and 3-month follow up.

Eligibility criteria: Inclusion Criteria:

* Aged 18-34
* From groups other than non-Hispanic White
* Enrolled in services at the partnering clinic site

Exclusion Criteria:

* Cognitive impairments (i.e., young adult cannot understand consent process)
* Unable to comprehend and speak English

Primary outcomes:
measure: Participant acceptability questionnaire
timeFrame: Immediately after the intervention
measure: Qualitative interviews
timeFrame: Immediately after the intervention
measure: Intervention adherence
timeFrame: Baseline through study completion, an average of 2 years; repeated measure to assess change through study completion
Secondary outcomes:
measure: Service utilization
timeFrame: Assessed 3 months after baseline
measure: Client Engagement in Child Protective Services Scale
timeFrame: Assessed immediately after the intervention and 3 months after baseline
Other outcomes:
Locations:
city: Bronx
country: United States
facility: The Jewish Board
state: New York
Study officials:
References: