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Increasing Use of Mental Health Services (Open Door)

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified January 2011 by Weill Medical College of Cornell University.
Recruitment status was:  Active, not recruiting
Information provided by (Responsible Party):
Jo Anne Sirey, Weill Medical College of Cornell University Identifier:
First received: January 18, 2008
Last updated: December 16, 2014
Last verified: January 2011
The purpose of this study is to test the effectiveness of Open Door (previously known as the Treatment Initiation Program [TIP]), a brief psychosocial intervention to address the psychological barriers to care and improve the use of mental health services by depressed community elderly. The intervention is designed to help the older adult identify the barriers, problem-solve to find solutions and mobilize the motivation to seek help. Open Door was developed to work collaboratively with an older adult who is depressed to improve access and adherence to mental health treatment.

Condition Intervention
Major Depression
Behavioral: Open Door intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Supportive Care
Official Title: Increasing Use of Mental Health Services by Community Dwelling Adults With Depression

Resource links provided by NLM:

Further study details as provided by Weill Medical College of Cornell University:

Primary Outcome Measures:
  • The primary outcome is engagement defined as at least two visits with a mental health provider who can offer treatment of depression. [ Time Frame: 12 and 24 weeks ]

Estimated Enrollment: 200
Study Start Date: August 2007
Estimated Study Completion Date: January 2016
Primary Completion Date: January 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1 Behavioral: Open Door intervention

Open Door intervention subjects will:

  1. receive an evaluation
  2. receive a referral to a local mental health provider
  3. identify barriers, set goals and problem-solve to achieve a mental health evaluation using available resources.
Other Name: West group
No Intervention: 2

Subjects who do not receive the Open Door intervention will receive:

  1. an evaluation
  2. referral to a local mental health provider
  3. booklet information on depression and mental health care, and will complete an application for HEAP, a Westchester County service that provides reduced rates from oil companies on heating to seniors.

Detailed Description:
The primary aim of this research study did not change from the original application; it is to conduct a randomized controlled trial of the effectiveness of a brief, psychosocial intervention on engagement in mental health care among homebound depressed older adults. Engagement is defined as accepting a referral and attending a visit with a provider who could provide traditional mental health care (medication or psychotherapy). The intervention, now called Open Door, was developed to work collaboratively with an older adult who has depressive symptoms to address the barriers to care with the aim of helping them consider a referral and engage in mental health care. In prior research, this intervention has been found to improve treatment participation, reduce depressive symptoms and increase adherence to antidepressant therapy among depressed older adults in primary care and outpatient psychiatric settings. We propose that Open Door will improve the access to mental health care by reducing psychological barriers, providing education about care, and managing the resignation associated with the symptoms of depression among community dwelling depressed elders. Additionally, we believe that despite the heterogeneity of mental health care that may be received, Open Door will be associated with reduced depressive symptoms by empowering the older adult to initiate care for him/herself.

Ages Eligible for Study:   60 Years to 90 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age 60 years and older
  • Homebound
  • Endorse depressive symptoms

Exclusion Criteria:

  • Presence of significant alcohol or substance abuse or psychotic disorder
  • High suicide risk, i.e. intent or plan to attempt suicide
  • Cognitive impairment
  • Inability to speak English
  • Aphasia interfering with communication.
  • Current use of antidepressants or psychotherapy
  Contacts and Locations
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Please refer to this study by its identifier: NCT00605358

United States, New York
Weill Cornell Medical College
White Plains, New York, United States, 10605
Sponsors and Collaborators
Weill Medical College of Cornell University
Principal Investigator: Jo Anne Sirey, Ph.D. Weill Medical College of Cornell University
  More Information

Responsible Party: Jo Anne Sirey, Associate Professor, Weill Medical College of Cornell University Identifier: NCT00605358     History of Changes
Other Study ID Numbers: R01MH079265-01A1 
Study First Received: January 18, 2008
Last Updated: December 16, 2014

Keywords provided by Weill Medical College of Cornell University:
geriatric depression

Additional relevant MeSH terms:
Depressive Disorder
Depressive Disorder, Major
Behavioral Symptoms
Mood Disorders
Mental Disorders processed this record on February 24, 2017