Increasing Effective Mental Health Care for LGBT Clients

Last updated: May 6, 2024
Sponsor: University of Maryland, College Park
Overall Status: Active - Enrolling

Phase

N/A

Condition

N/A

Treatment

Face-to-face and online LGBTQ+ training

On-line training

Clinical Study ID

NCT05352659
U48DP006382
  • Ages > 18
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The overall aims of the 5-year University of Maryland Prevention Research Center (UMD-PRC) Core Research Project are to identify, refine, implement, evaluate, translate, disseminate, and communicate approaches and tools that can be used to improve the competency of mental health care for LGBT persons which is a social determinant of LGBT health disparities. The UMD-PRC research team, in collaboration with the community advisory board (CAB), have identified 5 evidence based resources (Tools) to improve health care competency with sexual and gender minority populations (lesbian/gay, bisexual, and transgender [LGBT] people). The UMD-PRC will use the Sexual and Gender Diversity Learning Community (SGDLC) program (Strategy) and these tools along with technical assistance (TA) to improve LGBT mental health care. The following hypothesis will be tested. The study intervention group will show an increase in a) organization-level LGBT-friendly policies and environment as observed by the researchers and b) LGBT competent clinician practice assessed through clinician self-reported preparedness, awareness, and knowledge as well as referral for co-occurring client health needs; client-reported satisfaction with therapy and health literacy; and research team assessment of clinician performance providing consultation to a standardized LGBT patient actor.

Eligibility Criteria

Inclusion

Inclusion Criteria: Therapists must be employed by a participating study general mental health servicesorganization in Maryland. They must be 18 years of age or older, in the process of beinglicensed or already licensed to provide clinical mental healthcare in Maryland, able tospeak and understand English, and have at least 10 clients 16 years old and older.

Exclusion

Exclusion Criteria: Participants may not be under 18 years of age, unlicensed, or have less than 10 clients 16years or older.

Study Design

Total Participants: 600
Treatment Group(s): 2
Primary Treatment: Face-to-face and online LGBTQ+ training
Phase:
Study Start date:
March 01, 2021
Estimated Completion Date:
June 01, 2025

Study Description

Mental health organizations will be randomized to two study groups. Within each organization, clinicians will be recruited. Within clinician practices, clients will be recruited. Baseline data will be collected from the two groups of mental health organization leads, clinicians, and clients. Both groups will undergo data collection with 5 tools by research teams: at the organization level the Organizational Climate Assessment and at the clinician level the Provide Self-Assessment during month 1 of each site's participation. Client level Client Satisfaction Survey data will also be collected during month 1 of each site's participation (cohort 1 clients). During months 2-4 of each site's participation, clinicians in the control group will receive standard nationally, publicly freely accessible information, specifically a letter notifying them about the on-line accessible SAMHSA LGBT services education manual and Fenway Health Webinars. In the intervention group, clinicians will also receive a letter notifying them about the nationally, publicly freely accessible on-line SAMHSA education manual and Fenway Health Webinars plus they will receive a 1-day, clinician training followed by 4 biweekly 2-hour technical assistance workshops to review and address information gleaned from the 5 tool's and to finalize the problem-solving related to needs for change based on the 5 tool's. During month 5 of each site's participation, both groups will undergo follow-up data collection and assessment by research teams at the organization and clinician levels. Client level data will also be collected during month 5 of each site's participation (cohort 2 clients). Finally, during month 6 of each site's participation, each site's 5 clinicians in both study arms will complete one first-time consultation session by screen-to-screen interaction via on-line computer interface with a LGBT standardized patient so that their objective skill-level performance can be assessed.

Connect with a study center

  • University of Maryland School of Public Health

    College Park, Maryland 20742
    United States

    Site Not Available

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