Harlem Strong’s mission is to address the syndemic risks of mental health, social risks, institutional racism, and COVID-19 through a neighborhood based multisectoral coalition of community, faith-based, mental health, social service, health, and city organizations focused on mental health integration and coordination of care across the Harlem community. The specific goals of the coalition are to:

– Promote mental health awareness and access to resources across the
– Increase linkage to care through care navigation
– Build capacity in mental health promotion and task-sharing skills
– Support continuous quality improvement, and
– Strengthen community resiliency.

Study Overview

Collaborative Care is an evidence-based approach for coordinating systems of care and will be used to support implementation of mental health task-sharing
(screening, education about mental health and stress management, and referral) in a variety of settings. However, little is known about effective strategies to support mental health integration across a wide variety of community gateway settings.

This study uses community-engaged planning across a multisectoral coalition of organizations to support mental health task sharing and evaluates the impact of this model in low-income housing (LIC) and primary care (PC) sites.

Harlem Strong will use a stepped-wedge design to conduct a randomized control study to compare three implementation models: (1) education and resources (E&R), (2) Multisector Collaborative Care model (MCC), and (3) MCC with technology support. All sites will have exposure to all three implementation conditions over the course of the study. 


We will evaluate the impact of these three implementation models on system, provider, and consumer outcomes


The Harlem Strong Initiative conducted formative research to understand community mental health needs and resources, and evaluate the impact of a multisectoral community collaborative care model on system and consumers outcomes:

Develop a multisectoral coalition focused on community engagement, innovations, system transformation, and sustainability for mental health integration

Conduct formative work with multistakeholder group to identify barriers and facilitators, and preferences for service needs and mplementation strategies. This formative work supports development of Community Implementation Plan (CIP) for the Multisector Community Collaborative Care (MCC) model and support crowdsourcing community driven technological solutions

Develop and test implementation strategies for MCC model delivered in two gateway settings: Low Income Housing (LIC) and Primary Care (PC)