Testing Self-Directed Care in Florida

NCT05649449 | Completed

• 1 other identifier: STUDY2008-0970
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

This study tests a psychosocial intervention called mental health self-directed care by assessing its impact on recovery, mental health status, rehabilitation outcomes, and service costs in the state of Florida.

Conditions

Mental Disorder

Keywords

self-directed care

Outcome Measures

Primary Outcomes (1)

• Change in perceived competence for mental health self-management

  Perceived competence is measured with the Perceived Competence Scale that includes 4 items that assess subjects' self-rated ability to manage their mental health and recovery, with scores ranging from 4 to 28, with higher scores indicating greater perceived competence for mental health self-management.

  study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention)

Secondary Outcomes (5)

• Change in met and unmet needs related to multiple life domains

  study entry (pre-intervention), 6-months (intervention mid-point), 12 months (immediate post-intervention)

• Change in perception of service providers as supportive of client autonomy

  study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention)

• Change in self-rated recovery from mental illness

  study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention)

• Change in employment status

  study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention)

• Change in service costs

  12-month period of study participation

Study Arms (2)

Experimental

EXPERIMENTAL

Participants meet with self-directed care program staff called brokers to receive a program orientation, share perceptions of their current life situation and mental health status, and review past year behavioral health service use as well as participants' views of service helpfulness. This culminates in participants' choice of recovery goals and development of an individual budget to pay for for services and material goods directly related to recovery goals. After budget approval by the program supervisor, brokers make purchases. At quarterly meetings, brokers and participants discuss the latter's progress toward recovery goals and create the next quarter's budget. After receiving 12 months of SDC services, participants are helped to transition back to usual community mental health services.

Behavioral: Self-Directed Care

Control

ACTIVE COMPARATOR

Subjects receive routine mental health care from community agencies consisting of outpatient services coordinated at community behavioral health programs.

Behavioral: Services as usual

Interventions

Self-Directed Care BEHAVIORAL

Participants meet with self-directed care program staff called brokers to receive a program orientation, share perceptions of their current life situation and mental health status, and review past year behavioral health service use as well as participants' views of service helpfulness. This culminates in participants' choice of recovery goals and development of an individual budget to pay for for services and material goods directly related to recovery goals. After budget approval by the program supervisor, brokers make purchases. At quarterly meetings, brokers and participants discuss the latter's progress toward recovery goals and create the next quarter's budget. After receiving 12 months of SDC services, participants are helped to transition back to usual community mental health services.

Experimental

Services as usual BEHAVIORAL

Participants receive usual outpatient psychiatric care delivered at community programs from which the person can choose from an array of services negotiated with the state mental health authority.

Control

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18 and older
• Serious mental illness
• Receiving services coordinated by behavioral health managing entity

You may not qualify if:

• Cognitive impairment preventing informed consent
• Enrollment in Medicaid/Medicare
• Representative payeeship
• Court-mandated treatment
• Recent substance disorder crisis
• In residential treatment
• History of violent behavior in the past 10 years

Sponsors & Collaborators

• University of Illinois at Chicago: lead
• National Institute on Disability, Independent Living, and Rehabilitation Research: collaborator

Study Sites (1)

University of Illinois at Chicago, Department of Psychiatry

Chicago, Illinois, 60612, United States

Location

MeSH Terms

Conditions

Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Research interviewers are blinded to study condition.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Self-directed care is a recovery-oriented model of community mental health service delivery in which participants manage a personal budget from which they purchase goods and services, including specific types of mental health care, social supports, and items that allow them to recover their health and emotional wellness and live independently.

Study Record Dates

• First Submitted: December 5, 2022
• First Posted: December 14, 2022
• Study Start: September 5, 2017
• Primary Completion: March 26, 2020
• Study Completion: March 26, 2020
• Last Updated: May 9, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)