The aim of this project is to develop an intervention that can be delivered by lay providers that reduces conflict and improves problem-solving, connection and supportiveness within families. Team members will develop an approach that a) serves families experiencing high levels of relationship distress coupled with other socioeconomic vulnerabilities and b) is feasible and scalable in areas with low access to mental healthcare including rural communities. This subgroup will have three specific aims:
- Conduct community-based participatory research to a) identify community partners who work with families and children and are positioned to deliver family-based interventions and b) work with partners to identify specific needs and ideas for delivering family interventions in ways that fit with their values and normal operations.
- Develop an intervention that can be delivered by a wide range of providers, including lay providers without previous mental health training. This intervention will be developed using participatory methods with partners identified by the group. It will also draw from the lay provider-delivered interventions already implemented by Dr. Puffer and her colleagues in Kenya and other low- to middle-income country settings. The intervention will be adapted for virtual delivery.
- Conduct a small pilot trial with community partners and evaluate implementation outcomes related to feasibility and acceptability. Team members will also conduct a pre/post evaluation on clinical outcomes as preliminary data on efficacy of the intervention.