Evidence map›Paper›PMID 42404959›Full record

ArticleFrontiers in public health2026

Advancing mental health equity: a community-based adaptation of problem management plus (PM+) on a mobile health clinic.

Josephina Lin, Piper Derenoncourt, Rainelle Walker-White, Nancy Oriol, Daniel Palazuelos, Giuseppe Raviola, Stephanie L Smith, Mollie Williams

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Josephina LinHarvard Medical School, Boston, MA, United States.
Piper DerenoncourtHarvard Medical School, Boston, MA, United States.
Rainelle Walker-WhiteHarvard Medical School, Boston, MA, United States.
Nancy OriolHarvard Medical School, Boston, MA, United States.
Daniel PalazuelosHarvard Medical School, Boston, MA, United States.
Giuseppe RaviolaDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United States.
Stephanie L SmithHarvard Medical School, Boston, MA, United States.
Mollie WilliamsHarvard Medical School, Boston, MA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mental health inequities persist in underserved communities due to systemic barriers to care. Healthy Roads, a mental wellness support program developed by the mobile clinic The Family Van, adapted the World Health Organization's Problem Management Plus (PM+) curriculum to address these disparities with support from Partners In Health. PM+ is a brief, evidence-based psychological intervention designed for trained non-specialists to deliver in low-resource settings. This community case study describes the adaptation, implementation, and early lessons learned from delivering PM+ with trained community health workers (CHWs) among racially and linguistically diverse communities in Boston, Massachusetts. Data were collected from 49 participants who engaged in 173 sessions between January 2021 and December 2023. Quantitative outcomes were measured using the Psychological Outcomes Profiles (PSYCHLOPS) tool, alongside qualitative insights from session notes and client feedback. Participants who completed the program experienced a 25.4% reduction in mental health distress 95% CI [13.1, 37.9%], with those attending at least one session experiencing an 11.4% reduction 95% CI [5.8, 17.0%]. This program also demonstrates how community-based mental health initiatives can contribute to broader systems of collaborative learning where frontline providers, participants, community members, and institutional partners jointly adapt and refine program delivery to inform equitable adaptation and dissemination of mental health practices. As the first adaptation of PM + in a community-based mobile clinic in the United States, Healthy Roads offers implementation insights for community health programs on building a mental health workforce reflective of the community, centering community expertise, adapting program delivery for cultural relevance, and ensuring proper staffing to sustain quality care.

Indexed as

Community Health WorkersCommunity Mental Health ServicesHealth EquityMental HealthMobile Health UnitsAdultBostonFemaleHumansMaleMiddle Agedcommunity-based mental health carecommunity health worker (CHW)global mental healthmental health equitymobile health clinicsproblem management plus (PM+)task-shiftingunderserved communities

Identifiers

PMID42404959
PMCPMC13328350

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.