Improving Primary Care in Patients With Mental Disorders
|Mental Disorders||Behavioral: Nurse case management Behavioral: Usual care||Phase 3|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
|Official Title:||Improving Primary Care in Patients With Mental Disorders|
- Quality of primary medical care [ Time Frame: Measured over 2 years ]
- Health status [ Time Frame: Measured over 2 years ]
- Psychiatric symptoms [ Time Frame: 2004-2009 ]
- Costs [ Time Frame: 2004-2009 ]
|Study Start Date:||July 2004|
|Study Completion Date:||July 2009|
|Primary Completion Date:||July 2009 (Final data collection date for primary outcome measure)|
Participants will receive nurse case management intervention
Behavioral: Nurse case management
Nurse case management is a population-based medical case management program to improve the delivery of primary medical care to patients with serious mental illness in a Community Mental Health Center (CMHC) in Atlanta GA. The treatment draws on elements from the primary care, nursing case management, chronic disease, health behavior change literature, and from the study team's experience in integrating primary care services for patients with serious mental illnesses.
Active Comparator: 2
Participants will receive usual care
Behavioral: Usual care
Usual care includes standard mental health services.
Poor quality of care may contribute to impaired health status and increased mortality in individuals with serious mental disorders and substance abuse problems; interventions designed to improve medical care for this population need to be developed. This study will develop a population-based medical case management model for improving the primary medical care of patients at an inner city community mental health center.
This study will last 2 years. Participants will be randomly assigned to receive medical case management or standard of care (typically drug and behavioral therapy) for 2 years. Participants in the case management group will receive help in overcoming barriers to receiving primary care. Participants will also undergo 5 interviews over the 2-year study duration, and have annual chart reviews. Results of the interviews will be used to assess quality of primary care, service use, health outcomes, psychiatric symptoms, and substance use.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00183313
|United States, Georgia|
|Grady Health Systems|
|Atlanta, Georgia, United States, 30303|
|Atlanta, Georgia, United States, 30322|
|Principal Investigator:||Benjamin G. Druss, MD, MPH||Emory University|
|Study Director:||Silke A. von Esenwein, MA||Emory University|