Teachers as frontline mental health providers: a new experiment in schools

NCT ID NCT06587230

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Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

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Status unknown
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First seen Sep 03, 2026 · Last updated Sep 04, 2026 · Updated 1 time

Summary

This trial tests a program called Teachers Leading the Frontlines (Tealeaf) that trains elementary and middle school teachers in North Carolina to support students with mental health needs, such as depression, anxiety, and behavior challenges. Teachers learn to identify students who need help, analyze their behavior, and use a structured plan to provide one-on-one support. The study will measure how well teachers adopt the program and whether students show improvements in their mental health and behavior.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Teachers Leading the Frontlines (Tealeaf), a behavioral training program that teaches teachers to identify students with mental health needs, analyze their behavior, and deliver targeted support using a 4Cs behavior plan.
What this could lead to
If it works, this could offer a sustainable way to expand mental health support in schools, reaching more students who might otherwise go without care.
What could go wrong
This is a pilot study, so results are preliminary. Teachers may not apply the training consistently, and the program may not fit every school or student.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 312 people

The number the study aims to enrol. It can still change while the study runs.

Started

Oct 2024

Expected to finish

Jun 2027

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

5 to 99 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

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.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

How to take part

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  1. The places running it

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  2. The official record

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  3. A doctor treating you

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Contacts and locations

Locations

  • University of North Carolina at Chapel Hill

    RECRUITING

    Chapel Hill, North Carolina, 27514, United States

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