Just Do You Program for Young Adults With Serious Mental IIlness
1 other identifier
interventional
124
1 country
1
Brief Summary
Just Do You is a young-adult-centered and theoretically guided intervention that has shown promise for keeping young adults connected to their professional treatments, while also enhancing their hope for the future and their own recovery. Just Do You is a brief two-module engagement program that utilizes a hybrid provider team of a licensed clinician and peer to address mistrust, lack of hope for the future, stigma concerns, literacy and a sense of efficacy early on when young adults begin a new service experience in adult outpatient day programs (i.e., New York State Personalized Recovery Oriented Services). The aim of this study is to test Just Do You through a moderately-sized randomized trial in order to see if it improves initial and secondary engagement among young adults with serious mental health conditions. The program is designed as an orientation to services, coupled with a curriculum designed to enhance motivation and agency, and keep young adults connected to their care. This study utilizes a randomized controlled trial to test the preliminary impact of the intervention, compared to best available services (treatment as usual, TAU) at two outpatient programs for adults with serious mental illnesses (n = 195). The program was adapted to two-sessions from the piloted four-session version through conversations with leadership at partnering agencies. The intervention involves intensive staff training and 24 months of ongoing provision, monitoring and supervision of the program. Quantitative survey data will be collected at baseline (pre), 2 weeks (post), 1 month, and 3 months. In this intention-to-treat analysis, we will conduct basic omnibus analyses to examine whether Just Do You leads to improved outcomes relative to TAU utilizing t tests across treatment conditions for each outcome measure specified. The investigators will likewise examine whether changes in the proposed mediating variables differ across groups.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable depression
Started Jan 2018
Typical duration for not_applicable depression
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 4, 2018
CompletedStudy Start
First participant enrolled
January 31, 2018
CompletedFirst Posted
Study publicly available on registry
February 6, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 7, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
March 7, 2020
CompletedNovember 3, 2022
September 1, 2020
2.1 years
January 4, 2018
October 31, 2022
Conditions
Outcome Measures
Primary Outcomes (2)
Adherence to PROS program
Past week attendance to mental health appointments at PROS
Assessed 4 weeks following baseline
Adherence to PROS program
Past week attendance to mental health appointments at PROS
Assessed 3 months following baseline
Secondary Outcomes (4)
Adherence to medication
Assessed 4 weeks following baseline
Adherence to medication
Assessed 3 months following baseline
Client Engagement in Child Protective Services Scale
Assessed 4 weeks following baseline
Client Engagement in Child Protective Services Scale
Assessed 3 months following baseline
Other Outcomes (9)
Center for Epidemiological Studies Depression Scale
Assessed 3 months following baseline
Global Measure of Perceived Stress
Assessed 4 weeks following baseline
Inventory of Attitudes Toward Seeking Mental Health Services
Assessed 4 weeks following baseline
- +6 more other outcomes
Study Arms (3)
Experimental Condition
EXPERIMENTALParticipants assigned to the experimental arm will be enrolled in the 2-session Just Do You intervention described elsewhere.
Treatment as Usual Condition
NO INTERVENTIONParticipants assigned to treatment as usual will receive the PROS program that is standard in the agencies without any additional intervention.
Active Control Condition
ACTIVE COMPARATORParticipants assigned to the active control condition will receive the PROS program that is standard in the agencies, and a two-session curriculum on maintaining healthy relationships, which is an identified issue for the population.
Interventions
Just Do You is an intervention designed to keep young adults connected to their professional behavioral health treatments. It is a brief two-module engagement program that utilizes a hybrid provider team of a licensed clinician and peer to increase young adult engagement in adult outpatient day programs (i.e., New York State Personalized Recovery Oriented Services). The first session consists of the following components: 1) Welcome; Group Guidelines, Purpose, 2) Discuss Recovery Principles; Narrative of Role Model; 3) Video of Celebrity Service User and Discussion, and 4) Recovery Goals (and role of services in that). The second session consists of: 1) What are services \& how can they help? 2) Visual art exercise -- Cause of SMI and validation, 3) Maintaining my Medicaid Insurance, and 4) Discussion of Systemic Barriers.
The active control condition will receive the PROS program that is standard in the agencies, and a two-session curriculum on maintaining healthy relationships, which is an identified issue for the population.
Eligibility Criteria
You may qualify if:
- between the ages of 18 and 28
- living with a serious mental illness (i.e., mood, anxiety, schizophrenia-spectrum)
- attending personalized recovery-oriented services (PROS)
- formerly involved with public systems of care
You may not qualify if:
- cognitive impairments (i.e., young adult cannot understand consent process or IQ\<70)
- non-English speaking (we will include individuals whose primary language is not English, but are able to comprehend and speak English).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mt Eden Personalized Recovery Oriented Services
New York, New York, 10457, United States
Related Publications (2)
Munson MR, Jaccard J, Scott LD Jr, Moore KL, Narendorf SC, Cole AR, Shimizu R, Rodwin AH, Jenefsky N, Davis M, Gilmer T. Outcomes of a Metaintervention to Improve Treatment Engagement Among Young Adults With Serious Mental Illnesses: Application of a Pilot Randomized Explanatory Design. J Adolesc Health. 2021 Nov;69(5):790-796. doi: 10.1016/j.jadohealth.2021.04.023. Epub 2021 Jun 4.
PMID: 34099390DERIVEDMunson MR, Jaccard JJ, Scott LD Jr, Narendorf SC, Moore KL, Jenefsky N, Cole A, Davis M, Gilmer T, Shimizu R, Pleines K, Cooper K, Rodwin AH, Hylek L, Amaro A. Engagement intervention versus treatment as usual for young adults with serious mental illness: a randomized pilot trial. Pilot Feasibility Stud. 2020 Jul 23;6:107. doi: 10.1186/s40814-020-00650-w. eCollection 2020.
PMID: 32714561DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Michelle R Munson, PhD
New York University
- PRINCIPAL INVESTIGATOR
James Jaccard, PhD
New York University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 4, 2018
First Posted
February 6, 2018
Study Start
January 31, 2018
Primary Completion
March 7, 2020
Study Completion
March 7, 2020
Last Updated
November 3, 2022
Record last verified: 2020-09
Data Sharing
- IPD Sharing
- Will not share