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Helpers in Plain Sight: A Guide to Implementing Mental Health Task Sharing in Community-Based Organizations
May 4, 2020
This interim report presents preliminary implementation and impact evaluation findings for New York City's Connections to Care program, which seeks to expand access to mental health support for low-income New Yorkers through a task shifting model delivered by community-based organizations. This report also describes study methods and the baseline sample for the impact evaluation at the time of writing.
Interim Report
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At least one in five adult New Yorkers is likely to meet the criteria for a mental health diagnosis, yet most do not receive mental health services to treat these problems. Mental health problems, such as depression and anxiety, disproportionately affect historically underserved segments of the population, such as racial/ethnic minority and low-income individuals, and these groups are least likely to receive mental health services. The Connections to Care (C2C) Collaborative developed the C2C program, which integrates mental health support into the work of nonclinical community-based organizations (CBOs) through task shifting; task shifting is an approach extending evidence-informed health care skills to community-based partners under the oversight of trained professionals to expand the health care workforce. This report uses data from interviews, surveys, and CBO-provided progress indicators to describe how C2C has been implemented within and across the 15 CBOs. This report also describes study methods and a description of the baseline sample for the impact evaluation at the time of writing.
Chapter One
Introduction
Chapter Two
Evaluation Methods
Chapter Three
Interim Implementation Evaluation Findings
Chapter Four
Interim Impact Evaluation Progress and Baseline Descriptive Data
Chapter Five
Summary of Interim Report
Appendix A
Methods and Measures
This research was sponsored by the Mayor's Fund to Advance New York City and conducted by the Access and Delivery Program within RAND Health Care.
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