Teacher-delivered mental health support for K–8 students in North Carolina

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Tealeaf-NC pilots a teacher-delivered, task-shifted model in which teachers are trained and supervised to provide brief, classroom-based mental health support to students. The study uses a mixed-methods, cluster randomized design guided by the RE-AIM framework to measure Reach, Adoption, and Implementation as primary, implementation-focused outcomes and to collect preliminary indicators of Effectiveness and Maintenance as secondary, clinical outcomes. Approximately 300 participants across schools randomized to Tealeaf or RE-SEED will be followed using quantitative measures and qualitative interviews. The project is led by the University of North Carolina at Chapel Hill in partnership with local and international collaborators who have prior experience implementing Tealeaf approaches.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Schools:

* Have been trained in either Tealeaf or RE-SEED in Summer 2024 or 2025 after being randomized programmatically
* Be a school in the State of North Carolina
* Have an eligible principal

Principals:

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

Teachers:

* \>18 years old
* Employed at an enrolled school
* Primary teaching responsibility for a single academic class (for a minimum of 1 hour per day and a minimum of 4 days per week) in any grade level Kindergarten to Grade 8
* Not suspected or convicted of child-related misconduct or maltreatment

Counselors:

* \>18 years old
* Employed at an enrolled school
* Hold a school counselor position at an enrolled school for at least 10 hours per week
* Not suspected or convicted of child-related misconduct or maltreatment

Students:

* Enrolled in Kindergarten-Grade 8
* Student of an enrolled teacher
* Has a parent or guardian who can provide consent
* Positive/Clinical-level score on the Strengths and Difficulties Questionnaire (SDQ)

Guardians:

* \>18 years old
* Guardian of enrolled student

Exclusion Criteria:

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

Where it's running

• University of North Carolina at Chapel Hill
  Chapel Hill, North Carolina, United States Recruiting

Study contacts

• Principal investigator: Christina R Cruz, MD — University of North Carolina, Chapel Hill
• Study coordinator: Christina Cruz, MD
• Email: christina_cruz@med.unc.edu
• Phone: 347-721-1458

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Teacher-led mental health care for adolescents

  This study is testing a new way for trained teachers to provide mental health support to teenagers in rural schools to see if it helps them with emotional and behavioral challenges.

  Recruiting University of North Carolina, Chapel Hill · Darjeeling, West Bengal · NCT06248203

• On-demand and apprenticeship training to help mentors deliver a teen depression-prevention program

  This project will test whether on-demand online modules plus supervised, in-the-moment apprenticeship training helps mentors in rural schools deliver IPT-AST to teens aged 12–17.

  Recruiting University of Minnesota · Minneapolis, Minnesota · NCT07129070

• Improving sleep for better mental health and school performance in teenagers

  This study tests two school programs designed to help teenagers aged 13-19 improve their sleep to see if it can boost their mental health and school performance.

  Recruiting Kristianstad University · Kristianstad, Skåne County · NCT06306092

• Mindful Smartphone Use: A Mindfulness-Based Program for Teens with Sleep and Mood Challenges

  This study tests Mindwire, a mindfulness-based program, to see if it helps teens with problematic phone use who also have depression or anxiety.

  Recruiting Brown University · Providence, Rhode Island · NCT07892807

• Tele-based wellbeing centres for women's mental health in Bangladesh

  A randomized trial tests whether tele-counselling for depression and anxiety in Bangladeshi women is as effective as in-person counselling.

  Recruiting at 2 sites International Centre for Diarrhoeal Disease Research, Bangladesh · Chāndpur, Matlab Dakshin and 1 other locations · NCT07890896

• HBOT to see if it helps cognition and well‑being in first responders with prior brain injury

  This study tests whether 40 hyperbaric oxygen therapy sessions can improve thinking skills and post-concussion symptoms in current or former first responders with a history of brain injury.

  Recruiting Phase 2 Summit Hyperbarics and Wellness · Boise, Idaho · NCT07852728

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.