Patient-Centered Alternative to Psychiatric Hospitalization for Veterans
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Purpose
A variety of models of psychiatric hospital alternative care have been developed over the past several decades. San Diego�s Short-Term Acute Residential Treatment (START) model is one of the best established of these alternatives, comprising a network of 6 facilities with a total of 77 beds. Although veterans have been among those served at START programs for many years, no previous study of START or any other model has focused specifically on veterans.
| Condition | Intervention |
|---|---|
|
Veterans Acute Hospitalization |
Behavioral: Strong Patient Focus |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Patient-Centered Alternative to Psychiatric Hospitalization for Veterans |
| Estimated Enrollment: | 220 |
| Study Completion Date: | September 2002 |
| Arms | Assigned Interventions |
|---|---|
| Arm 1 | Behavioral: Strong Patient Focus |
Detailed Description:
Background:
A variety of models of psychiatric hospital alternative care have been developed over the past several decades. San Diego�s Short-Term Acute Residential Treatment (START) model is one of the best established of these alternatives, comprising a network of 6 facilities with a total of 77 beds. Although veterans have been among those served at START programs for many years, no previous study of START or any other model has focused specifically on veterans.
Objectives:
The study tested the hypotheses that veterans treated in a START program would demonstrate greater improvement in symptoms and quality of life, as well as greater satisfaction with treatment and lower costs of care than veterans treated at the VA inpatient unit.
Methods:
This study includes elements of both efficacy and effectiveness studies. VA psychiatric unit treatment and START are compared in a randomized trial, with follow up of subjects at 2, 6, and 12 months as they experience real-world treatment-as-usual. Symptoms, functioning, quality of life, and satisfaction with services are assessed on multiple standardized measures, as well as by qualitative assessments.
Status:
Final report is under preparation.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Have to a veteran and in need of acute hospitalization, but able to take care of themselves. (Max Age is 59)
Exclusion Criteria:
Contacts and Locations| United States, California | |
| VA San Diego Health Care System | |
| San Diego, California, United States, 92161 | |
| Principal Investigator: | James B. Lohr, MD BA | VA San Diego Health Care System |
More Information
Publications:
| Responsible Party: | Department of Veterans Affairs |
| ClinicalTrials.gov Identifier: | NCT00013169 History of Changes |
| Other Study ID Numbers: | PCC 98-051 |
| Study First Received: | March 14, 2001 |
| Last Updated: | August 1, 2012 |
| Health Authority: | United States: Federal Government |
ClinicalTrials.gov processed this record on June 17, 2013