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Teachers Leading the Front Lines - North Carolina (Tealeaf-NC)

Building Teachers Mental Health Skills to Support Students With Mental Health Needs in Elementary and Middle Schools in North Carolina: Program Implementation and Prospective Data Collection

Who can join

Ages 5 to 99 · All sexes

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.

About the study

Purpose: The purpose of this research is to pilot test a novel, alternative, potentially sustainable system of teacher-delivered, task-shifted child mental health care.

Participants: \~300 estimated

Procedures: This is a RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) guided, mixed methods, clustered evaluation of Tealeaf-NC's Reach, Adoption \& Implementation (Primary Outcomes, implementation-based), as well as evaluating for preliminary indicators of Effectiveness \& Maintenance (Secondary Outcomes, clinically-based).

What is being tested

• Teachers Leading the Frontlines (behavioral)
• Responding to Students' Emotions Through Education (behavioral)

Sponsor: University of North Carolina, Chapel Hill · Participants: 312 · Started: Oct 8, 2024

Contact the study team

• Christina Cruz, MD · Phone: 347-721-1458
• Michael Matergia, MD · Phone: 857-488-7209

Official record on ClinicalTrials.gov — NCT06587230

Locations in the U.S.

Conditions

• Depression
• Anxiety

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.