312 Participants Needed

Teacher-Led Mental Health Care for Children

(Tealeaf-NC Trial)

CC
MM
Overseen ByMichael Matergia, MD
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: University of North Carolina, Chapel Hill
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new approach where teachers help manage mental health care for children in schools. It compares two methods: one provides teachers with detailed training and support, while the other offers less training and only school counselor supervision. The goal is to determine which method more effectively and sustainably supports children's mental health. The trial seeks schools in North Carolina with teachers of grades K-8 and students identified with emotional or behavioral challenges through a specific questionnaire. As an unphased trial, it offers schools the opportunity to lead in innovative mental health support strategies for children.

Do I need to stop my current medications to join the trial?

The trial information does not specify whether participants need to stop taking their current medications.

What prior data suggests that this teacher-led mental health care system is safe for children?

Research shows that the Tealeaf program, which trains teachers to provide mental health support to children, is generally safe. Studies on teacher-led mental health care, including both the Tealeaf and RE-SEED programs, have not identified any specific safety issues. These methods are usually well-accepted. Teachers receive training to effectively assist students with emotional challenges. By using trained teachers, these programs aim to make mental health care more accessible, and current evidence suggests this approach is safe.12345

Why are researchers excited about this trial?

Researchers are excited about these trial methods because they explore new ways to support children's mental health through teacher involvement. Unlike traditional treatments that often rely on school counselors or external therapists, the Tealeaf approach equips teachers with extensive training and ongoing support, potentially making mental health care more accessible and integrated into daily classroom activities. Meanwhile, the RE-SEED method offers a comparative look at the impact of less intensive teacher training with supervision from school counselors, which could highlight the importance of teacher engagement in student emotional well-being. This trial could uncover effective strategies for empowering teachers to play a pivotal role in supporting children's mental health at school.

What evidence suggests that this trial's treatments could be effective for child mental health care?

In this trial, the Tealeaf program serves as one of the treatment arms, providing teachers with in-depth training and regular supervision to assist in mental health care. Research has shown that the Tealeaf program holds promise for improving children's mental health. Specifically, studies found that teachers trained in Tealeaf methods can effectively support students' mental health needs. Data from early trials in 2018 and 2019 demonstrated that teachers can assume this role, allowing some mental health care to shift from traditional professionals to educators. This approach not only aids mental health but also enhances academic performance. By empowering teachers, the program offers a new way to support children's mental well-being in schools.16789

Who Is on the Research Team?

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Christina R Cruz, MD

Principal Investigator

University of North Carolina, Chapel Hill

Are You a Good Fit for This Trial?

This trial is for about 300 teachers in North Carolina, aiming to test a new system where teachers help with child mental health care. Teachers who are willing to adopt and maintain this program can join. Specific inclusion or exclusion criteria aren't provided.

Inclusion Criteria

I am a teacher over 18, teach K-8 for at least 1 hour/day and 4 days/week, with no child misconduct history.
Schools that have been trained in either Tealeaf or RE-SEED in June 2024 after being randomized programmatically and are located in the State of North Carolina with an eligible principal
I am a student in grades K-8 with a high score on the SDQ and have parental consent.
See 2 more

Exclusion Criteria

Exclusion criteria will be set as each participant does not meet the inclusion criteria as set for their group.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training

Teachers complete three days of training delivered by a mental health professional

1 week
3 visits (in-person)

Implementation

Teachers deliver task-shifted mental health care using the Tealeaf program throughout the school year

9 months
Monthly site visits, supplemented by as-needed telephone and digital discussions

Follow-up

Participants are monitored for effectiveness and fidelity of the intervention

1 month

What Are the Treatments Tested in This Trial?

Interventions

  • Responding to Students' Emotions Through Education
  • Teachers Leading the Frontlines
Trial Overview The study tests 'Teachers Leading the Frontlines' and 'Responding to Students' Emotions Through Education'. It evaluates how well these approaches work (effectiveness), how they're adopted by schools, implemented over time, and maintained after the study ends.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: TealeafExperimental Treatment1 Intervention
Group II: RE-SEEDActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of North Carolina, Chapel Hill

Lead Sponsor

Trials
1,588
Recruited
4,364,000+

University of Colorado, Denver

Collaborator

Trials
1,842
Recruited
3,028,000+

Doris Duke Charitable Foundation

Collaborator

Trials
65
Recruited
264,000+

Darjeeling Ladenla Road Prerna

Collaborator

Trials
3
Recruited
1,100+

Broadleaf Health and Education Alliance

Collaborator

Trials
4
Recruited
4,000+

Broadleaf Health and Education Alliance

Collaborator

Trials
4
Recruited
4,000+

Citations

NCT05179759 | Teachers Leading the Frontlines (Tealeaf)Purpose: The primary aim of this research is to evaluate the effectiveness of teacher-delivered transdiagnostic mental healthcare for school-aged children ...
Tealeaf ∣ TEAchers LEAding the FrontlinesThis program elevates mental health with a model of care called community initiated care (CIC). It trains and empowers teachers to address youth mental ...
Comparative child mental health and academic outcomes ...Tealeaf and RE-SEED were compared on teacher-rated mental health scores (TRF), caregiver-rated mental health scores (SDQ), and academics (ASER).
Teachers Leading the Front Lines - North Carolina (Tealeaf ...Intervention evidence: Results from 2018 and 2019 pilot Tealeaf trials show that mental health care delivery for children can be shifted to teachers. Teachers ...
Teachers Leading the Front Lines - AdolescentPurpose: The purpose of this research is to pilot test a novel, alternative, potentially sustainable system of teacher-delivered, ...
Teachers Leading the Front Lines - AdolescentIntervention evidence: Results from 2018 and 2019 pilot Tealeaf trials show that mental health care delivery for children can be shifted to teachers. (1) ...
Efficacy of Teacher-delivered Child Mental Healthcare in ...A novel mental health program (Tealeaf-Mansik Swastha) has been developed with the aims to (i) improve access to evidence-based mental healthcare for children, ...
Teacher-Led Mental Health Care for ChildrenThe studies on teacher-led mental health care, like Tealeaf and RESEED, do not report any specific safety concerns, suggesting it is generally safe for ...
The Potential Emergence of “Education as Mental Health ...The purpose of this study was to determine the feasibility of teachers delivering “Tealeaf” with fidelity, where “Tealeaf” (Teachers Leading the Frontlines - ...
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