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
University of Massachusetts, Worcester
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Linda Weinreb, University of Massachusetts, Worcester
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|
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.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||67 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|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|
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.
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 :
- 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 :
- 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
- 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
- Patient Reactions Assessment (Galassi et al, 1992) [ Time Frame: The primary end point is 6 months ]
- Helping Alliance Questionnaire (Luborsky et al, 1985) [ Time Frame: The primary end point is 6 months ]
No Contacts or Locations Provided