Impact of Self-directed Goals for Long-term Patients in a Forensic Hospital: A Mixed-Methods Pilot Study
1 other identifier
interventional
8
1 country
1
Brief Summary
The goal of this study is to determine if supporting forensic patients in setting their own goals can impact occupational deprivation. This study is guided by this overarching research question: can setting and achieving self-directed goals improve occupational deprivation outcomes in long-term patients of a forensic psychiatric hospital? Participants were provided an educational group and occupational therapy treatment sessions to support goal setting within the forensic hospital.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2025
Shorter than P25 for not_applicable
1 active site
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
January 6, 2025
CompletedFirst Submitted
Initial submission to the registry
February 27, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 4, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
April 20, 2025
CompletedFirst Posted
Study publicly available on registry
June 25, 2025
CompletedJune 25, 2025
February 1, 2025
3 months
February 27, 2025
June 14, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Canadian Occupational Performance Measure
Semi-structured interview identifying occupational participation. Participants rate occupations identified based on importance, performance, and satisfaction.
At enrollment and week 11
Study Arms (1)
Self-directed Goals
EXPERIMENTALParticipants will be setting self-directed goals based on the Canadian Occupational Performance Measure in skilled 1:1 occupational therapy sessions and working to achieving them as well as attending a goal-setting educational group.
Interventions
Patients will be educated on the goal setting process and setting self-directed goals aimed at occupations they identified as important in both group and 1:1 treatment sessions.
Eligibility Criteria
You may qualify if:
- Is capable of providing consent to participate.
- Is at least 18 years of age.
- Resides at Rhode Island State Psychiatric Hospital.
- Hospital stay for a year or longer as of the anticipated start date of January 2025.
- No imminent discharge date due to the nature of their alleged criminal charges or current symptoms of their mental illness.
You may not qualify if:
- Have an imminent discharge date
- Having experienced positive symptoms of psychosis (i.e hallucinations, delusions, or thought disorganization) in the year prior to the January start date.
- Behavioral outburst resulting in restraints in the year prior to the January start date.
- Hold a primary diagnosis of antisocial personality disorder (ASPD).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Chapin Grahamlead
Study Sites (1)
Rhode Island State Psychiatric Hospital
Cranston, Rhode Island, 02920, United States
Related Publications (5)
Stephenson T, Leaman J, O'Moore E, Tran A, Plugge E. Time out of cell and time in purposeful activity and adverse mental health outcomes amongst people in prison: a literature review. Int J Prison Health. 2021 Jan 6;17(1):54-68. doi: 10.1108/IJPH-06-2020-0037.
PMID: 33634654BACKGROUNDRomero-Ayuso DM, Toledano-Gonzalez A, Pinilla-Cerezo M, Sanchez-Rodriguez O, Garcia-Arenas JJ, Trivino-Juarez JM, Ortiz-Rubio A. Occupational Balance and Emotional Regulation in People With and Without Serious Mental Illness. Can J Occup Ther. 2024 Mar;91(1):100-109. doi: 10.1177/00084174231178440. Epub 2023 Jun 4.
PMID: 37271981BACKGROUNDLaw M, Polatajko H, Pollock N, McColl MA, Carswell A, Baptiste S. Pilot testing of the Canadian Occupational Performance Measure: clinical and measurement issues. Can J Occup Ther. 1994 Oct;61(4):191-7. doi: 10.1177/000841749406100403.
PMID: 10137673BACKGROUNDLaverdure P, Beisbier S. Occupation- and Activity-Based Interventions to Improve Performance of Activities of Daily Living, Play, and Leisure for Children and Youth Ages 5 to 21: A Systematic Review. Am J Occup Ther. 2021 Jan-Feb;75(1):7501205050p1-7501205050p24. doi: 10.5014/ajot.2021.039560.
PMID: 33399053BACKGROUNDClarke, C. (2003). Clinical application of the Canadian Model of Occupational Performance in a forensic rehabilitation hostel. British Journal of Occupational Therapy, 66(4).
BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Occupational Therapy Doctoral Student
Study Record Dates
First Submitted
February 27, 2025
First Posted
June 25, 2025
Study Start
January 6, 2025
Primary Completion
April 4, 2025
Study Completion
April 20, 2025
Last Updated
June 25, 2025
Record last verified: 2025-02
Data Sharing
- IPD Sharing
- Will not share