Advocacy in all its forms seeks to ensure that people, particularly those who are most vulnerable in society, are able to have their voice heard on issues that are important to them, defend and safeguard their rights, and have their views and wishes genuinely considered when decisions are being made about their lives.


Advocacy organizations use various forms of advocacy in order to influence public opinion and/or policy. They have played and continue to play an important part in the development of political and social systems. Advocacy groups fulfill their mission in different ways through national, state and local affiliates.

Clinical research’s partnerships are as varied as the indications themselves. Many advocacy organizations for disease states such as cancer, heart disease, diabetes and others work closely with research, often raising money for new cutting-edge therapies. Yet other indications such as brain disorders, do not receive the same support from advocacy and sadly, our society.

It is vital that clinical research, especially the sites at the local level, become involved in advocacy. This can take many forms, but always with the intent to better serve the volunteers entering a clinical trial. Research must educate themselves on local advocacy organizations, their mission, and how advocacy can become a support network for those entering a trial.


The following are examples of top advocacy organizations for mental health in the US. Most of them have advocacy organizations at the state and local level. You can see through the descriptions how they each have a unique mission and serve a different purpose in the system of care.

Mental Health America (MHA) — Founded in 1909, MHA has an established record of effective national and grassroots advocacy and achievement. With over 200 affiliates in 41 states, 6,500 affiliate staff and over 10,000 volunteers, they are a powerful voice for healthy communities throughout the nation. Much of their current work is guided by the Before Stage 4 (#B4Stage4) philosophy – that mental health conditions should be treated long before they reach the most critical points in the disease process. For more information visit

Depression Bipolar Support Alliance (DBSA) — DBSA envisions wellness for people who live with depression and bipolar disorder. Because DBSA was created for and is led by individuals living with mood disorders, their vision, mission, and programming are always informed by the personal, lived experience of peers. Through more than 700 support groups and nearly 300 chapters, DBSA reaches millions of people each year with in-person and online peer support; current, readily understandable information about depression and bipolar disorder; and empowering tools focused on an integrated approach to wellness. For more information visit

National Alliance on Mental Illness (NAMI) — NAMI is the nation’s largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness. NAMI is the foundation for hundreds of NAMI State Organizations, NAMI Affiliates and volunteer leaders who work in local communities across the country to raise awareness and provide essential and free education, advocacy and support group programs. For more information visit

Active Minds – Active Minds empowers students to change the perception about mental health on college campuses. Active Minds supports a network of campus-based chapters across the United States and Canada that are made up of students passionate about mental health advocacy and education. Chapters provide their campuses with a wide range of programming that educates their peers about mental health, connects students to resources, and aims to change negative perceptions about mental health disorders. Active Minds chapters are changing the way students address mental health and giving a voice to this important issue. Learn more at

Schizophrenia and Related Disorders Alliance of America (SARDAA) – SARDAA improves lives affected by schizophrenia-related brain illnesses (mental illnesses involving psychosis). SARDAA promotes hope and recovery through support programs, education, collaboration and advocacy. Our vision is that every person living with a schizophrenia-related brain disorder receives respect, appropriate treatment and an opportunity to live a meaningful and satisfying life in a compassionate community free of discrimination. Learn more at

The STARR Coalition will assist your site in beginning the process of building a partnership with local and/or state advocacy. It has been our experience some local advocacy groups are reluctant to partner with clinical research for various reasons; mistrust of clinical research, past history when working with sites, or simply no desire to associate with research. No matter the barriers, clinical research sites must become a part of the care continuum and individuals living with conditions must have clinical research as an option as they would any other option for care. We will call upon national partners if needed to open the conversation at the local level.


There are many ways research sites can support local advocacy. Here are a few examples:

  • Sponsor an event such as a walk or fundraiser.
  • Allow staff to volunteer in events or operational pieces needed by advocacy groups.
  • Offer your resources to assist in disease education.
  • Actively participate in community events.
  • Share staff to assist in programs held by advocacy, i.e. having a nurse lead a family education group about medications.
  • Hold a community health fair and invite other organizations involved in a specific indication.
  • Assess the needs of advocacy in your community and fill those needs.
  • Open your doors to advocacy leaders to educate them on the work you are doing. Hold an Open House, invite their staff/board in for lunch, allow them to use your space for meetings. Be creative. You are only limited by your imagination.
  • Serve on a Board. Many groups appreciate and desire active participation.
  • Reach out to other STARR Certified Sites and learn ways they are engaging advocacy and the community.


Important things to remember that can create barriers:

  • Advocacy is NOT A RECRUITING TOOL FOR SITES. It is not the mission or obligation of advocacy to find volunteers for your trial. It is perfectly fine to share study information, but do not expect referrals. If you approach the partnership with this expectation, it will fail.
  • Building a report should be viewed as altruistic. Supporting advocacy helps the entire community. It should be a part of your operations because it is simply the right thing to do.

The process of establishing a trust-based partnership with advocacy can take time. Be patient but be persistent. It will benefit both the volunteers and your site. Remember, we are here as a resource as needed in this area.