Peer-Delivered Behavioral Activation in a CCBHC

Conditions studied

Major Depressive Disorder, Substance Use Disorders

About this study

Low-income individuals have limited access to evidence-based interventions for mental health. Peer recovery specialists, individuals in recovery from mental health and/or substance use problems, have the potential to increase access to evidence-based interventions for individuals from low-resource communities, particularly when trained and supervised in models that are acceptable and feasible in these communities. This study will examine the effectiveness and implementation potential of a peer-delivered evidence-based intervention (Behavioral Activation) among individuals receiving services from a community-based treatment setting providing integrated physical and behavioral healthcare.

Interventions

• Behavioral: Peer Activate — Peer Activate is an adapted behavioral activation (BA) intervention, developed for delivery by peer recovery specialists to reduce rates of depressive symptoms and substance use. BA focuses on increasing positive reinforcement through engaging in adaptive, valued behaviors. BA has been found to be effective in improving substance use outcomes and decreasing depressive symptoms among low-income individuals with SUD. Peer Activate includes 6 weekly sessions with up to 6 additional booster sessions.
• Behavioral: Peer-delivered non-specific services — Peers will deliver non-specific peer services, including linkage to care, general support, and facilitated referrals to external providers as needed.

Primary outcomes

• Change in Hamilton Depression Rating Scale (Baseline, post-intervention (approximately 3 months after baseline), 6- and 12-month follow-up)