Clinical trial NCT03709537: Supporting the Mental Health Workforce
Official title: Local Organizational Support and Development Networks for Public Mental Health System Workforce With Lived Experience
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Health
Lead sponsor: The University of Texas Health Science Center, Houston
Sponsor class: OTHER
Collaborators: name: Emotional Health Association
name: California Office of Statewide Health Planning and Development
First posted: 2018-10-17
Enrollment: 366
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study will draw participants from mental health sites where one or more peer supervisors and peer workers are located. These sites will be randomized to either the treatment or standard practice control group. The treatment group will receive the intervention, which consists of a Co-Learning Collaborative, several trainings, and the creation of Implementation Teams. The sites assigned as part of control group will not receive any training or additional technical assistance that is part of the intervention.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Emotional Health Association will engage Los Angeles County Department of Mental Health providers that employ peer workers in a training and technical assistance intervention designed to support, increase, and retain an effective peer workforce. This intervention consists of a Co-Learning Collaborative, several training sessions, and the creation of Implementation Teams. Peer workers will also be encouraged to attend Recovery International, an established network of self-help support groups for mental health. Dr. Louis Brown will lead an evaluation of the efficacy of the intervention. This study will inform the use of peer workers as a component of the mental health workforce.

Detailed description: Evaluation of the the intervention with the peer workforce will be conducted through administration of web-based surveys of peer workers and peer supervisors at baseline and follow-up (10 months post-baseline). These two surveys will be administered to peer workers and peer supervisors at sites enrolled in the study. A letter of informational detailing the risks of participation will accompany the survey. Individuals who do not complete the web-based survey will be invited to complete a telephone interview with the same questions. Sites (where one or more peer supervisors and peer workers are located) will be randomized to either the intervention group or standard practice control group. The intervention group will engage in Co-Learning Collaborative, several training sessions, and the creation of Implementation Teams. Peer workers from the intervention group will also be encouraged to attend Recovery International, an established network of self-help support groups for mental health. Analysis of the surveys collected from both study groups will be conducted to assess the efficacy of the intervention and provide Emotional Health Association with a final report.

Eligibility criteria: Inclusion Criteria:

* All service providing sites within the Los Angeles Department of Mental Health will be invited to participate in the study. Sites not affiliated with the Los Angeles Department of Mental Health will be allowed to enroll in the study if they express interest but will not be actively recruited.
* Participants must be a peer worker or supervisor of peer workers at a site participating in the study.

Exclusion Criteria:

* Peers who do not receive pay and volunteer for less that 15 hours per week.

Primary outcomes:
measure: Peer-supportive organizational climate
timeFrame: 10 months
measure: Mental Health Stigma
timeFrame: 10 months
measure: Peer Worker Recovery
timeFrame: 10 months
Secondary outcomes:
measure: Recovery orientation of services
timeFrame: 10 Months
measure: Supervisor's peer support attitudes
timeFrame: 10 Months
measure: Supervisor's job satisfaction
timeFrame: 10 Months
measure: Supervision quality (as rated by peer workers)
timeFrame: 10 Months
measure: Peer worker time spent on peer support activities
timeFrame: 10 Months
measure: Peer worker discrimination experience
timeFrame: 10 Months
measure: Supervisor/peer worker relationship (as rated by supervisor)
timeFrame: 10 Months
measure: Peer worker contributions (as rated by supervisor)
timeFrame: 10 Months
measure: Peer worker job satisfaction
timeFrame: 10 Months
measure: Peer worker sick leave and disability days
timeFrame: 10 Months
measure: Peer worker work-related burnout
timeFrame: 10 Months
measure: Peer worker mental health problems
timeFrame: 10 Months
measure: Peer worker social support
timeFrame: 10 Months
measure: Peer worker stress
timeFrame: 10 Months
Other outcomes:
Locations:
city: Culver City
country: United States
facility: SHARE! Self-Help and Recovery Exchance
state: California
Study officials:
affiliation: The University of Texas Health Science Center, Houston
name: Louis D Brown, PhD
role: PRINCIPAL_INVESTIGATOR
References: