Individually Based Psychosocial Rehabilitation for Older People With Serious Mental Illness (SMI)

NCT00817154 | Completed Phase 1 DMC

• 1 other identifier: K23MH080021
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 2

Brief Summary

The major goal of this project is to adapt an existing group-based psychosocial program to enhance community functioning in older people with serious mental illness (SMI). The focus of the adaptation is designing and evaluating an individually based rehabilitative program for older people with SMI who either cannot or choose not to access a group program.

Conditions

Schizophrenia; Schizoaffective Disorder; Bipolar Disorder; Major Depression

Keywords

Older persons with SMI

Outcome Measures

Primary Outcomes (1)

• To develop an individually based psychosocial rehabilitation program for older adults with SMI. The program will be specified in treatment manuals and will match relevant skills training modules to the functional needs and preferences of consumers.

  baseline, 9 months and 12 months, 15 months

Study Arms (1)

Hopes-I

EXPERIMENTAL

The program progresses in three steps. First, participants receive a 10-week Basic Skills for Community Living course covering essential skills from each of the five modules to ensure that all participants establish basic competency in a core set of skills. Second, clinicians assess participants' functioning to identify skill areas that warrant additional improvement and engage participants in a shared decision making process to select skill areas to pursue in greater depth. Third, clinicians have weekly 60 minute sessions with participants in community settings for 7 months to provide training and to facilitate and support acquisition of core skills and rehabilitation goals.

Behavioral: HOPES-I

Interventions

HOPES-I BEHAVIORAL

The program progresses in three steps. First, participants receive a 10-week Basic Skills for Community Living course covering essential skills from each of the five modules to ensure that all participants establish basic competency in a core set of skills. Second, clinicians assess participants' functioning to identify skill areas that warrant additional improvement and engage participants in a shared decision making process to select skill areas to pursue in greater depth. Third, clinicians have weekly 60 minute sessions with participants in community settings for 7 months to provide training and to facilitate and support acquisition of core skills and rehabilitation goals.

Hopes-I

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 50+;
• ability to provide voluntary informed consent or assent, with formal consent by a legal guardian;
• Axis I Disorder of schizophrenia, schizoaffective disorder, bipolar disorder, or major depression;
• Functional impairment based on New Hampshire state eligibility criteria for services to people with SMI;
• Enrollment in treatment for at least three months.

You may not qualify if:

• residence in a nursing home or assisted living facility;
• Terminal illness expected to result in death within one year or less;
• Diagnosis of dementia, or significant cognitive impairment as indicated by a Mini Mental Status Evaluation (MMSE) score \<24;
• Current active substance abuse or dependence;
• Past Participation in HOPES-G

Sponsors & Collaborators

• Dartmouth-Hitchcock Medical Center: lead
• National Institutes of Health (NIH): collaborator

Study Sites (2)

Riverbend Community Mental Health Center

Concord, New Hampshire, 03301, United States

Location

Community Council of Nashua

Nashua, New Hampshire, 03060, United States

Location

MeSH Terms

Conditions

Schizophrenia; Psychotic Disorders; Bipolar Disorder; Depressive Disorder, Major

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders; Bipolar and Related Disorders; Mood Disorders; Depressive Disorder

Study Officials

• Sarah I Pratt, Ph.D.

  Dartmouth-Hitchcock Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 5, 2009
• First Posted: January 6, 2009
• Study Start: November 1, 2009
• Primary Completion: December 1, 2013
• Study Completion: December 1, 2013
• Last Updated: May 7, 2014

Record last verified: 2014-05

Locations

US (2)