Anxiety & Depression Association of America

A Mental Health Services Engagement Program for Racial and Ethnic Minority Young Adults

Purpose

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.

Conditions

Psychosis
Bipolar and Related Disorders
Depressive Disorder

Eligibility

Eligible Ages: Between 18 Years and 34 Years
Eligible Genders: All
Accepts Healthy Volunteers: No

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

Study Design

Phase: N/A
Study Type: Interventional
Allocation: Randomized
Intervention Model: Factorial Assignment
Primary Purpose: Other
Masking: None (Open Label)

Arm Groups

Arm	Description	Assigned Intervention
Active Comparator Just Do You	Just Do You Core Intervention	Behavioral: Just Do You Just Do You Core Intervention utilizes creative arts and a provider team of a licensed clinician and professional peer to increase young adult engagement in adult outpatient mental health programs. Content addresses recovery, advantages of using mental health services, working with providers, stigma, and mental health literacy.
Experimental Just Do You-A	Just Do You plus Component A	Behavioral: Just Do You Just Do You Core Intervention utilizes creative arts and a provider team of a licensed clinician and professional peer to increase young adult engagement in adult outpatient mental health programs. Content addresses recovery, advantages of using mental health services, working with providers, stigma, and mental health literacy. Behavioral: Component A Content addresses participant cultural identities and how they may be barriers and facilitators to on-going engagement with services.
Experimental Just Do You-B	Just Do You plus Component B	Behavioral: Just Do You Just Do You Core Intervention utilizes creative arts and a provider team of a licensed clinician and professional peer to increase young adult engagement in adult outpatient mental health programs. Content addresses recovery, advantages of using mental health services, working with providers, stigma, and mental health literacy. Behavioral: Component B Content addresses identity-based motivations for on-going engagement with services and hope for the future.
Experimental Just Do You-C	Just Do You plus Component C	Behavioral: Just Do You Just Do You Core Intervention utilizes creative arts and a provider team of a licensed clinician and professional peer to increase young adult engagement in adult outpatient mental health programs. Content addresses recovery, advantages of using mental health services, working with providers, stigma, and mental health literacy. Behavioral: Component C Content addresses community and environmental barriers and facilitators to on-going engagement with services and self-efficacy.
Experimental Just Do You-AB	Just Do You plus Components A and B	Behavioral: Just Do You Just Do You Core Intervention utilizes creative arts and a provider team of a licensed clinician and professional peer to increase young adult engagement in adult outpatient mental health programs. Content addresses recovery, advantages of using mental health services, working with providers, stigma, and mental health literacy. Behavioral: Component A Content addresses participant cultural identities and how they may be barriers and facilitators to on-going engagement with services. Behavioral: Component B Content addresses identity-based motivations for on-going engagement with services and hope for the future.
Experimental Just Do You-AC	Just Do You plus Components A and C	Behavioral: Just Do You Just Do You Core Intervention utilizes creative arts and a provider team of a licensed clinician and professional peer to increase young adult engagement in adult outpatient mental health programs. Content addresses recovery, advantages of using mental health services, working with providers, stigma, and mental health literacy. Behavioral: Component A Content addresses participant cultural identities and how they may be barriers and facilitators to on-going engagement with services. Behavioral: Component C Content addresses community and environmental barriers and facilitators to on-going engagement with services and self-efficacy.
Experimental Just Do You-CB	Just Do You plus Components C and B	Behavioral: Just Do You Just Do You Core Intervention utilizes creative arts and a provider team of a licensed clinician and professional peer to increase young adult engagement in adult outpatient mental health programs. Content addresses recovery, advantages of using mental health services, working with providers, stigma, and mental health literacy. Behavioral: Component B Content addresses identity-based motivations for on-going engagement with services and hope for the future. Behavioral: Component C Content addresses community and environmental barriers and facilitators to on-going engagement with services and self-efficacy.
Experimental Just Do You-ABC	Just Do You plus Components A B and C	Behavioral: Just Do You Just Do You Core Intervention utilizes creative arts and a provider team of a licensed clinician and professional peer to increase young adult engagement in adult outpatient mental health programs. Content addresses recovery, advantages of using mental health services, working with providers, stigma, and mental health literacy. Behavioral: Component A Content addresses participant cultural identities and how they may be barriers and facilitators to on-going engagement with services. Behavioral: Component B Content addresses identity-based motivations for on-going engagement with services and hope for the future. Behavioral: Component C Content addresses community and environmental barriers and facilitators to on-going engagement with services and self-efficacy.

Recruiting Locations

More Details

Status: Recruiting
Sponsor: New York University

Study Contact

Kiara L Moore, PhD
212-998-5900
kiara.moore@nyu.edu

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.