Psychosocial Intervention Designed to Familial Reintegration of Homeless With Mental Disorder in Maputo and Matola City

NCT02936141 | Completed

• 1 other identifier: DSM-000-RS
• Study Type: interventional
• Target: 71
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this project is to describe the mental health status of the homeless people in Maputo and Matola utilising standardised clinical and socio-demographic assessments. Simultaneously; the study aims to determine the influence of a psychosocial intervention in patients with apparent signs of mental illness, aiming at his/her family reintegration; This study is conducted hypothesizing that the familial reintegration after intervention would be the same across patients with different mental disorders.

Conditions

Mental Disorders

Keywords

homeless, mental disorders, attendance

Outcome Measures

Primary Outcomes (1)

• Familial reintegration

  The return of the participant to family of origin after completing the intervention at the hospital level. This outcome was based on the questionnaire: "inquiry homeless data collection", drawn for the study. It contains a dichotomized question: patient living with the relatives during the first visit (yes or no), second visit (yes or no) and third visit (yes or no) throughout follow-up visits. When the answer was yes in three consecutive visits, he/she was considered reintegrated in the family in the present study.

  Every three months after discharge during 12 months

Secondary Outcomes (1)

• Social skills

  Every three months after discharge during 12 months

Study Arms (1)

Group psychotherapy

EXPERIMENTAL

Group psychotherapy sessions includes the following: training of social skills (such as communication, social interaction and assertive behaviors), cognitive stimulation and training of activities of daily living (such as personal hygiene, hygiene of spaces and standardized mealtimes)

Behavioral: Group psychotherapy

Interventions

Group psychotherapy BEHAVIORAL

Includes a group (up to 10 participants) weekly session with a duration of 90 minutes where it is stimulated communication, adaptative behaviour and social living

Also known as: Cognitive Therapy

Group psychotherapy

Eligibility Criteria

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

You may qualify if:

• \- People with apparent signs of mental disorder, who had been living on the street for more than 30 days who agreed to sign or give a verbal consent (by herself/himself, family/relatives)

You may not qualify if:

• Homeless persons without apparent signs of mental illness, with obvious physical illness, seemingly under the age of 18 and that were not able to give informed consent/those who it was not possible to contact their relatives.

Sponsors & Collaborators

• Ministry of Health, Mozambique: lead
• Columbia University: collaborator

Related Publications (6)

• Patel V, Simbine AP, Soares IC, Weiss HA, Wheeler E. Prevalence of severe mental and neurological disorders in Mozambique: a population-based survey. Lancet. 2007 Sep 22;370(9592):1055-60. doi: 10.1016/S0140-6736(07)61479-2.

  PMID: 17889244 BACKGROUND

• Patra S, Anand K. Homelessness: a hidden public health problem. Indian J Public Health. 2008 Jul-Sep;52(3):164-70.

  PMID: 19189843 RESULT

• Dennis DL, Buckner JC, Lipton FR, Levine IS. A decade of research and services for homeless mentally ill persons. Where do we stand? Am Psychol. 1991 Nov;46(11):1129-38. doi: 10.1037//0003-066x.46.11.1129.

  PMID: 1772150 RESULT

• Scott J. Homelessness and mental illness. Br J Psychiatry. 1993 Mar;162:314-24. doi: 10.1192/bjp.162.3.314.

  PMID: 8453425 RESULT

• Sullivan G, Burnam A, Koegel P. Pathways to homelessness among the mentally ill. Soc Psychiatry Psychiatr Epidemiol. 2000 Oct;35(10):444-50. doi: 10.1007/s001270050262.

  PMID: 11127718 RESULT

• Folsom DP, Hawthorne W, Lindamer L, Gilmer T, Bailey A, Golshan S, Garcia P, Unutzer J, Hough R, Jeste DV. Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. Am J Psychiatry. 2005 Feb;162(2):370-6. doi: 10.1176/appi.ajp.162.2.370.

  PMID: 15677603 RESULT

MeSH Terms

Conditions

Mental Disorders

Interventions

Psychotherapy, Group; Cognitive Behavioral Therapy

Intervention Hierarchy (Ancestors)

Socioenvironmental Therapy; Psychotherapy; Behavioral Disciplines and Activities; Behavior Therapy

Study Officials

• Lídia C. Gouveia, MD

  Mental Health Department of Ministry of Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 27, 2016
• First Posted: October 18, 2016
• Study Start: August 1, 2008
• Primary Completion: July 1, 2009
• Study Completion: December 1, 2010
• Last Updated: October 18, 2016

Record last verified: 2016-10

Data Sharing

• IPD Sharing: Will share