Contingency Management for Problematic Behavior Reduction in the Community

NCT06486584 | Completed

• 1 other identifier: 2023-005
• Study Type: interventional
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to determine the feasibility and effectiveness of implementing a contingency management program in a small group of mentally ill, unhoused individuals with schizophrenia or bipolar disorder and anosognosia (a lack of insight into their mental health) in the City of Tulsa. The primary objective of the study is to decrease disruptive or problematic behaviors (e.g. interactions with police, emergency services, hospitals, shelter staff, 911 calls) by unhoused individuals in the community through monetary incentives. Up to 15 participants will meet weekly for 30 minutes with their case manager to discuss progress on life goals ($10) and for having seven days with no disruptive behaviors (or "trouble-free days") per week at each visit, they will receive an additional baseline payment of $20, increasing with continued success in subsequent weeks by $1 per week.

Conditions

Schizophrenia; Bipolar Disorder; Anosognosia

Outcome Measures

Primary Outcomes (1)

• Reduction in disruptive behaviors

  Participants will decrease the frequency of disruptive behaviors in comparison with the 6-month period immediately prior to recruitment

  6 months

Secondary Outcomes (1)

• Reduction in disruptive behaviors

  18 months

Study Arms (1)

Contingency Management

EXPERIMENTAL

Meet weekly for 30 minutes with their case manager to discuss progress on life goals ($10) and for having seven days with no disruptive behaviors (or "trouble-free days") per week at each visit, they will receive an additional baseline payment of $20, increasing with continued success in subsequent weeks by $1 per week.

Behavioral: Contingency Management

Interventions

Contingency Management BEHAVIORAL

Contingency management payment for no disruptive behaviors each week.

Contingency Management

Eligibility Criteria

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

You may qualify if:

• Age 18-65 years old
• Diagnosis of Schizophrenia Spectrum, Bipolar, or Related Disorders
• Presence of Anosognosia (SUMD: Minimum combined score of 4 on questions 1) and 2); Recent (at least \<6 months) history of disruptive behaviors (at least 1 disruptive behavior per week in \>50% of weeks in the 6-month period prior to enrollment)
• Receive case management services through TDC
• Ability to comply with study procedures
• Willingness to participate in contingency management intervention

You may not qualify if:

• Inability to provide informed consent
• Unstable medical conditions that would interfere with participation
• Cognitive impairment that would interfere with participation in the study
• History of severe aggression or violent behavior posing a risk to study staff or other participants
• Active suicidal ideation or a history of suicide attempts within the past 12 months

Sponsors & Collaborators

• Laureate Institute for Brain Research, Inc.: lead
• Tulsa Day Center: collaborator

Study Sites (1)

Laureate Institute for Brain Research

Tulsa, Oklahoma, 74136, United States

Location

MeSH Terms

Conditions

Schizophrenia; Bipolar Disorder; Agnosia

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders; Bipolar and Related Disorders; Mood Disorders; Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Martin Paulus, MD

  Laureate Institute for Brain Research

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: June 27, 2024
• First Posted: July 3, 2024
• Study Start: June 20, 2023
• Primary Completion: December 15, 2023
• Study Completion: December 31, 2024
• Last Updated: March 4, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)