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

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ClinicalTrials.gov Identifier: NCT00817154
Recruitment Status : Completed
First Posted : January 6, 2009
Last Update Posted : May 7, 2014
Sponsor:
Collaborator:
National Institutes of Health (NIH)
Information provided by (Responsible Party):
Dartmouth-Hitchcock Medical Center

Brief Summary:
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 or disease Intervention/treatment Phase
Schizophrenia Schizoaffective Disorder Bipolar Disorder Major Depression Behavioral: HOPES-I Phase 1

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 38 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Individually Based Psychosocial Rehabilitation for Older People With SMI
Study Start Date : November 2009
Actual Primary Completion Date : December 2013
Actual Study Completion Date : December 2013

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
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.




Primary Outcome Measures :
  1. 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 ]


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Ages Eligible for Study:   50 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): 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
National Institutes of Health (NIH)
Investigators
Principal Investigator: Sarah I Pratt, Ph.D. Dartmouth-Hitchcock Medical Center

Responsible Party: Dartmouth-Hitchcock Medical Center
ClinicalTrials.gov Identifier: NCT00817154     History of Changes
Other Study ID Numbers: K23MH080021 ( U.S. NIH Grant/Contract )
First Posted: January 6, 2009    Key Record Dates
Last Update Posted: May 7, 2014
Last Verified: May 2014

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

Additional relevant MeSH terms:
Disease
Schizophrenia
Bipolar Disorder
Depressive Disorder, Major
Psychotic Disorders
Pathologic Processes
Schizophrenia Spectrum and Other Psychotic Disorders
Mental Disorders
Bipolar and Related Disorders
Depressive Disorder
Mood Disorders