Individually Based Psychosocial Rehabilitation for Older People With Serious Mental Illness (SMI)

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Dartmouth-Hitchcock Medical Center
ClinicalTrials.gov Identifier:
NCT00817154
First received: January 5, 2009
Last updated: May 5, 2014
Last verified: May 2014
  Purpose

The major goal of this project is to adapt an existing group-based psychosocial program to enhance community functioning in older people with serious mental illness (SMI). The focus of the adaptation is designing and evaluating an individually based rehabilitative program for older people with SMI who either cannot or choose not to access a group program.


Condition Intervention Phase
Schizophrenia
Schizoaffective Disorder
Bipolar Disorder
Major Depression
Behavioral: HOPES-I
Phase 1

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Individually Based Psychosocial Rehabilitation for Older People With SMI

Resource links provided by NLM:


Further study details as provided by Dartmouth-Hitchcock Medical Center:

Primary Outcome Measures:
  • To develop an individually based psychosocial rehabilitation program for older adults with SMI. The program will be specified in treatment manuals and will match relevant skills training modules to the functional needs and preferences of consumers. [ Time Frame: baseline, 9 months and 12 months, 15 months ] [ Designated as safety issue: No ]

Enrollment: 38
Study Start Date: November 2009
Study Completion Date: December 2013
Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Hopes-I
The program progresses in three steps. First, participants receive a 10-week Basic Skills for Community Living course covering essential skills from each of the five modules to ensure that all participants establish basic competency in a core set of skills. Second, clinicians assess participants' functioning to identify skill areas that warrant additional improvement and engage participants in a shared decision making process to select skill areas to pursue in greater depth. Third, clinicians have weekly 60 minute sessions with participants in community settings for 7 months to provide training and to facilitate and support acquisition of core skills and rehabilitation goals.
Behavioral: HOPES-I
The program progresses in three steps. First, participants receive a 10-week Basic Skills for Community Living course covering essential skills from each of the five modules to ensure that all participants establish basic competency in a core set of skills. Second, clinicians assess participants' functioning to identify skill areas that warrant additional improvement and engage participants in a shared decision making process to select skill areas to pursue in greater depth. Third, clinicians have weekly 60 minute sessions with participants in community settings for 7 months to provide training and to facilitate and support acquisition of core skills and rehabilitation goals.

  Eligibility

Ages Eligible for Study:   50 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Age 50+;
  2. ability to provide voluntary informed consent or assent, with formal consent by a legal guardian;
  3. Axis I Disorder of schizophrenia, schizoaffective disorder, bipolar disorder, or major depression;
  4. Functional impairment based on New Hampshire state eligibility criteria for services to people with SMI;
  5. Enrollment in treatment for at least three months.

Exclusion Criteria:

  1. residence in a nursing home or assisted living facility;
  2. Terminal illness expected to result in death within one year or less;
  3. Diagnosis of dementia, or significant cognitive impairment as indicated by a Mini Mental Status Evaluation (MMSE) score <24;
  4. Current active substance abuse or dependence;
  5. Past Participation in HOPES-G
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00817154

Locations
United States, New Hampshire
Riverbend Community Mental Health Center
Concord, New Hampshire, United States, 03301
Community Council of Nashua
Nashua, New Hampshire, United States, 03060
Sponsors and Collaborators
Dartmouth-Hitchcock Medical Center
Investigators
Principal Investigator: Sarah I Pratt, Ph.D. Dartmouth-Hitchcock Medical Center
  More Information

No publications provided

Responsible Party: Dartmouth-Hitchcock Medical Center
ClinicalTrials.gov Identifier: NCT00817154     History of Changes
Other Study ID Numbers: K23MH080021
Study First Received: January 5, 2009
Last Updated: May 5, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by Dartmouth-Hitchcock Medical Center:
Older persons with SMI

Additional relevant MeSH terms:
Bipolar Disorder
Depression
Depressive Disorder
Psychotic Disorders
Schizophrenia
Depressive Disorder, Major
Affective Disorders, Psychotic
Mood Disorders
Mental Disorders
Behavioral Symptoms
Schizophrenia and Disorders with Psychotic Features

ClinicalTrials.gov processed this record on July 26, 2014