Teachers Leading the Front Lines - Adolescent

Summary

Purpose: The purpose of this research is to pilot test a novel, alternative, potentially sustainable system of teacher-delivered, task-shifted adolescent mental health care. Participants: Principals of 60 rural, low-cost private secondary schools of the Darjeeling Himalayas will be invited to participate as a school and an individual. Teachers will be approached individually. Two students per teacher who meet inclusion criteria will be randomly chosen for enrollment. Procedures: This is a RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) guided, mixed methods CRCT, clustered at schools, of Tealeaf-A's Reach, Adoption \& Implementation (Primary Outcomes, implementation-based), as well as evaluating for preliminary indicators of Effectiveness \& Maintenance (Secondary Outcomes, clinically-based).

Eligibility

Inclusion Criteria:

Schools:

* LCP (Low-Cost Private) Secondary Schools
* Enrolled families earning \<$10 daily
* Located in greater Darjeeling
* Principal must also be eligible to participate

Principals:

* \>18 years old
* Employed at enrolled school
* Not suspected or convicted of child maltreatment

Teachers:

* \>18 years old
* Employed at enrolled school
* Not suspected or convicted of child maltreatment

Students:

* Age 13 - 17 years
* Student of enrolled teacher
* Borderline or clinical Total Problem or subscale score of YSR (Youth Self-Report) and TRF (Teacher's Report Form)
* Each student has a lead teacher (2/teacher), with their other teachers also involved

Guardians

* \>18 years old
* Guardian of enrolled student
* Not suspected or convicted of child maltreatment

Exclusion Criteria:

* Exclusion criteria will be set as each participant not meeting inclusion criteria as set for their group.

Conditions6

Browse More Trials