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The Integrated Care Model for Homeless Mothers (ICMHM)

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ClinicalTrials.gov Identifier: NCT02723058
Recruitment Status : Completed
First Posted : March 30, 2016
Last Update Posted : March 30, 2016
Sponsor:
Collaborator:
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Linda Weinreb, University of Massachusetts, Worcester

Brief Summary:
The purpose of this study is to pilot test an adapted collaborative care model for homeless mothers with depression.

Condition or disease Intervention/treatment Phase
Depression Behavioral: ICMHM Not Applicable

Detailed Description:
Homeless mothers are more vulnerable to Major Depressive Disorder (MDD) than comparable groups of impoverished mothers, with rates in recent community studies approaching 50%. Even though primary care offers an ideal venue to identify and manage depression among women who commonly fail to receive needed mental health services, rigorously tested primary care-based treatment strategies that address the needs of homeless mothers with depression are lacking. This study reports results on a pilot test and feasibility findings of a new intervention, the Integrated Care Model for Homeless Mothers (ICMHM), adapted from the collaborative care model for depression (CCM) to address unique aspects of care for homeless mothers who screened positive for depression during a shelter-based primary care visit.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 67 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Integrated Care Model for Homeless Mothers
Study Start Date : December 2009
Actual Primary Completion Date : November 2012
Actual Study Completion Date : November 2013

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: ICMHM
ICMHM mothers receive services of a primary care clinician (PCP) and a care manager both trained in depression care management in a shelter-based primary care clinic.
Behavioral: ICMHM
ICMHM participants receive a collaborative care model adapted to include an engagement interview, attention to co-morbid conditions, and attention to basic needs.

No Intervention: Treatment as Usual
Treatment as Usual mothers receive usual services of a PCP and case manager from a shelter-based primary care clinic. .



Primary Outcome Measures :
  1. Change in The Hopkins Depression Symptom Checklist -Depression Scale 20 (Williams et al, 2004) [ Time Frame: The primary end point is 6 months ]

Secondary Outcome Measures :
  1. Number of visits to the care manager and primary care physician [ Time Frame: The primary end point is 6 months ]
    Visits documented between study entry and six months recorded from EMR

  2. New antidepressant medication prescriptions [ Time Frame: The primary end point is 6 months ]
    Documentation of new antidepressant medication prescriptions between study entry and six months recorded in EMR

  3. Patient Reactions Assessment (Galassi et al, 1992) [ Time Frame: The primary end point is 6 months ]
  4. Helping Alliance Questionnaire (Luborsky et al, 1985) [ Time Frame: The primary end point is 6 months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Mothers who are residing in emergency shelter
  • 18 years of age or older
  • Screen positive for depression
  • Speak English or Spanish

Exclusion Criteria:

  • Not pregnant
  • Not currently receiving depression treatment
  • Not currently psychotic

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Linda Weinreb, Vice chair and professor, Family Medicine and Community Health, University of Massachusetts, Worcester
ClinicalTrials.gov Identifier: NCT02723058     History of Changes
Other Study ID Numbers: 1R34MH085881 ( U.S. NIH Grant/Contract )
1R34MH085881 ( U.S. NIH Grant/Contract )
First Posted: March 30, 2016    Key Record Dates
Last Update Posted: March 30, 2016
Last Verified: March 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Linda Weinreb, University of Massachusetts, Worcester:
Depression
Homelessness
Primary care

Additional relevant MeSH terms:
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Depression
Behavioral Symptoms