Increasing Use of Mental Health Services

NCT00605358 | Completed Results DMC

• 1 other identifier: R01MH079265-01A1
• Study Type: interventional
• Target: 161
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to test the effectiveness of Open Door (previously known as the Treatment Initiation Program \[TIP\]), a brief psychosocial intervention to address the psychological barriers to care and improve the use of mental health services by depressed community elderly. The intervention is designed to help the older adult identify the barriers, problem-solve to find solutions and mobilize the motivation to seek help. Open Door was developed to work collaboratively with an older adult who is depressed to improve access and adherence to mental health treatment.

Conditions

Major Depression

Keywords

geriatric depression

Outcome Measures

Primary Outcomes (1)

• The Primary Outcome is Engagement Defined as at Least One Visit With a Mental Health Provider Who Can Offer Treatment of Depression.

  Engagement was defined as at least one visit with a mental health provider, due to the fact that in some treatment settings, the initial evaluation and the onset of treatment both took place in the first visit. The primary outcome, engagement, was counted if the participant had engaged in mental health treatment by EITHER 12 weeks OR 24 weeks, based on research suggesting that older adults may take up to 6 months to follow through on a referral. Therefore, while there is only a single primary outcome (engaged or not), it could be fulfilled at either of the two follow-up time points, at 12 or 24 weeks.

  12 and 24 weeks

Study Arms (2)

Open Door Intervention

ACTIVE COMPARATOR

Subjects who receive the Open Door Intervention will work with the study counselor to identify barriers to participation in mental health treatment, set goals, and problem-solve, in addition to receiving a referral.

Behavioral: Open Door intervention

Services Referral

NO INTERVENTION

Subjects who do not receive the Open Door intervention will receive: 1. an evaluation 2. referral to a local mental health provider 3. booklet information on depression and mental health care, and will complete an application for HEAP, a Westchester County service that provides reduced rates from oil companies on heating to seniors.

Interventions

Open Door intervention BEHAVIORAL

Open Door intervention subjects will: 1. receive an evaluation 2. receive a referral to a local mental health provider 3. identify barriers, set goals and problem-solve to achieve a mental health evaluation using available resources.

Also known as: West group

Open Door Intervention

Eligibility Criteria

• Age: 60 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 60 years and older
• Homebound
• Endorse depressive symptoms

You may not qualify if:

• Presence of significant alcohol or substance abuse or psychotic disorder
• High suicide risk, i.e. intent or plan to attempt suicide
• Cognitive impairment
• Inability to speak English
• Aphasia interfering with communication.
• Current use of antidepressants or psychotherapy

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead

Study Sites (1)

Weill Cornell Medical College

White Plains, New York, 10605, United States

Location

Related Publications (1)

• Sirey JA, Bruce ML, Alexopoulos GS. The Treatment Initiation Program: an intervention to improve depression outcomes in older adults. Am J Psychiatry. 2005 Jan;162(1):184-6. doi: 10.1176/appi.ajp.162.1.184.

  PMID: 15625220 BACKGROUND

MeSH Terms

Conditions

Depressive Disorder, Major

Condition Hierarchy (Ancestors)

Depressive Disorder; Mood Disorders; Mental Disorders

Results Point of Contact

• Title: Dr. Jo Anne Sirey
• Organization: Weill Cornell Medicine

jsirey@med.cornell.edu

9149974333

Study Officials

• Jo Anne Sirey, Ph.D.

  Weill Medical College of Cornell University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: January 18, 2008
• First Posted: January 31, 2008
• Study Start: August 1, 2007
• Primary Completion: January 1, 2014
• Study Completion: January 1, 2015
• Last Updated: March 3, 2017
• Results First Posted: March 3, 2017

Record last verified: 2017-01

Locations

US (1)