Thinking Skills for Work in Severe Mental Illness
TSW
Cognitive Rehabilitation and Supported Employment for Severe Mental Illness
2 other identifiers
interventional
110
1 country
2
Brief Summary
The purpose of this study is help people with serious mental illness and receiving vocational rehabilitation get and keep the job they want by improving their thinking skills, such as attention and memory, using computer exercises and other strategies. One half of the participants in the study will receive vocational rehabilitation and the exercises to improve thinking skills, and the other half will receive just vocational rehabilitation. All participants will receive an assessment of symptoms and thinking skills at the beginning of the study and 6, 12, and 24 months later. Work activity during the 24 months in the study will be collected. It is expected that those participants who receive the practice of their thinking skills will be more likely to get and keep the job they want compared with people who do not receive this treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable schizophrenia
Started Apr 2006
Longer than P75 for not_applicable schizophrenia
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2011
CompletedFirst Submitted
Initial submission to the registry
August 19, 2013
CompletedFirst Posted
Study publicly available on registry
August 21, 2013
CompletedAugust 21, 2013
August 1, 2013
3.5 years
August 19, 2013
August 20, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
AMOUNT OF EMPLOYMENT
TOTAL HOURS OF COMPETITIVE EMPLOYMENT FROM BASELINE TO 24 MONTHS. TOTAL WEEKS OF EMPLOYMENT FROM BASELINE TO 24 MONTHS. TOTAL NUMBER OF JOBS HELD FROM BASELINE TO 24 MONTHS.
24 months
Secondary Outcomes (1)
EXECUTIVE FUNCTIONING AND MEMORY
BASELINE, 6, 12, and 24 months
Study Arms (2)
Supported Employment Only
ACTIVE COMPARATORSupported employment is an evidence based practice designed to help people with serious mental illness obtain competitive work. This vocational model adheres to the principles of zero inclusion, rapid job search, no prevocational training, attention to client preferences and integration with clinical services.
Thinking Skills for Work
EXPERIMENTALThe Thinking Skills for Work Program includes 5 components delivered by a Cognitive Specialist who works collaboratively with the consumer's Employment Specialist: a) assessing the consumer's strengths and weaknesses in cognitive functioning, and analysis of the contribution of cognitive impairments and other factors to job losses and difficulties obtaining a job; b) teaching coping strategies for dealing with cognitive challenges associated with job search or maintaining a job; c) computer cognitive training involving cognitive exercises with a commercially available software program, which is designed to improve the broad range of cognitive skills through a combination of practice and strategy coaching by the Cognitive Specialist; d) job search planning; and e) job support consultation.
Interventions
The Thinking Skills for Work includes assessment of cognitive strengths and weaknesses and their relationship with work history, computerized cognitive practice, compensatory strategy training, and integration of cognitive and supported employment services.
Supported Employment is an evidence based vocational rehabilitation program
Eligibility Criteria
You may qualify if:
- Chronic mental disorder
- Minimum age 18
- Unemployed
- Wants employment
- Must be a recipient of services at one of two participating agencies
- Fluent in English
- Willing and legally able to provide informed consent to participate in study -Subjects with court appointed legal guardians will be included
You may not qualify if:
- History of neurological conditions that impair cognition
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Thresholds, Inc.
Chicago, Illinois, 60613, United States
Mental Health Center of Greater Manchester
Manchester, New Hampshire, 03103, United States
Related Publications (1)
McGurk SR, Mueser KT, Xie H, Welsh J, Kaiser S, Drake RE, Becker DR, Bailey E, Fraser G, Wolfe R, McHugo GJ. Cognitive Enhancement Treatment for People With Mental Illness Who Do Not Respond to Supported Employment: A Randomized Controlled Trial. Am J Psychiatry. 2015 Sep 1;172(9):852-61. doi: 10.1176/appi.ajp.2015.14030374. Epub 2015 May 22.
PMID: 25998278DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Susan R McGurk, Ph.D.
Dartmouth-Hitchcock Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 19, 2013
First Posted
August 21, 2013
Study Start
April 1, 2006
Primary Completion
October 1, 2009
Study Completion
October 1, 2011
Last Updated
August 21, 2013
Record last verified: 2013-08