A Stepped Care Intervention to Reduce Disparities in Mental Health Services Among Cancer Patients and Caregivers

Exclusion Criteria

• •* Individuals who do not meet eligibility criteria, including individuals who do not speak English or Spanish;
• •* Those who refuse treatment at one of three hospital sites;
• •* Decisionally-challenged adults with cognitive or personality impairment;
• •* Suicidal ideation, or
• •* Intoxication (alcohol or drugs) that might interfere with their ability to consent or participate in the study;
• •* Individuals from vulnerable populations (e.g., inmates or individuals on probation,
• •* homeless,
• •* pregnant women, and
• •* those with auditory impairment.
• •Note: Individuals who become pregnant or develop auditory impairments after they have been randomized to study condition may remain in the study until completion.
• •2. Caregivers of LC and/or HNC patients
• •Individuals who do not meet eligibility criteria, including individuals who do not speak English or Spanish \[at the discretion of the Site Coordinators upon recruitment\];
• •Caregivers of patients who refuse treatment at one of three hospital sites.
• •Decisionally challenged adults with:
• •1. cognitive or personality impairment,
• •2. suicidal ideation, or
• •3. intoxication (alcohol or drugs) that might interfere with their ability to consent or participate in the study \[at the discretion of the Site Coordinators upon recruitment or the Counselor during the intervention\];
• •Individuals from:
• •1. vulnerable populations (e.g., inmates or individuals on probation, homeless,
• •2. pregnant women, and
• •3. those with auditory impairment \[at the discretion of the Site Coordinators upon recruitment\]).
• •4. Individuals who become pregnant or develop auditory impairments after they have been randomized to study condition may remain in the study until completion.