Testing a Novel Community-based Occupational Therapy Model

• ClinicalTrials.gov Identifier: NCT03855761
• Recruitment Status: Completed
• First Posted: February 27, 2019
• Last Update Posted: February 11, 2020
• Sponsor: Indiana University
• Collaborator: Eskenazi Health
• Information provided by (Responsible Party): Sally Wasmuth, Indiana University

Study Description

Brief Summary:

This study will perform a needs assessment within an outpatient mental health unit, deliver an occupational therapy model of care, track patient and organizational outcomes, and provide training to staff to implement the model.

Condition or disease	Intervention/treatment	Phase
Mental Disorders, Severe	Behavioral: Occupational Therapy; Behavioral: Case management; psychological services	Not Applicable

Detailed Description:

In this project the investigators' overall objective is to implement a narrative medicine-based occupational therapy (OT) model of care that brings client voices to the forefront of treatment planning and intervention to enhance the existing interdisciplinary system of service delivery within Midtown Community Mental Health (MCMH). The investigators hope to accomplish this objective via the following specific aims:1) Assess current programming - particularly processes surrounding client assessment, treatment planning, intervention, care-coordination/residential placement, and discharge - within MCMH sites to better understand limitations/gaps previously identified by the site manager that impact equitable and effective treatment 2) Adapt an existing care model - the Art of Healing Wellness Model (AoHW) - to meet the needs of MCMH, implement the model using an OT practitioner, and track feasibility/acceptability outcomes. 3) Re-assess MCMH programming post implementation to identify/demonstrate change resulting from the model 4) Using OT in the role of consultant, offer training to current MCMH staff to enable implementation of the adapted AoHW by MCMH (baccalaureate level) care coordinators 5) Preliminarily evaluate usability of the adapted AoHW by MCMH staff via focus groups following training and staff implementation

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 27 participants
• Allocation: Non-Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Health Services Research
• Official Title: Improving Equitable Care With Narrative Medicine and a Novel Community-based Occupational Therapy Care Model
• Actual Study Start Date: February 18, 2019
• Actual Primary Completion Date: December 1, 2019
• Actual Study Completion Date: December 1, 2019

Arms and Interventions

Arm	Intervention/treatment
Experimental: Intervention group; Experimental Occupational Therapy services	Behavioral: Occupational Therapy; Detailed narrative assessment and person-centered participation in meaningful activities
Active Comparator: Comparison group; Treatment as usual	Behavioral: Case management; psychological services; Weekly consultation with case managers to address housing and therapy needs

Outcome Measures

Primary Outcome Measures :

1. Occupational Circumstances Assessment Interview & Rating Scale (OCAIRS) [ Time Frame: 12 weeks ]
   The "Occupational Circumstances Assessment Interview and Rating Scale" is a semi-structured interview that measures a person's current participation in life in 12 areas:roles, habits, personal causation, values, interests, skills, short-term goals, long-term goals, interpretation of past experiences, physical environment, social environment, & readiness for change. The assessment provides an overall quantitative summed score of participation ranging from 12 to 48 with a higher number indicating greater participation as well as individual scores of 1-4 for each subsection.

Eligibility Criteria

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

Criteria

Inclusion Criteria

• Patient on a pre-determined treatment team at the outpatient mental health recruitment site

Exclusion Criteria

• Under 18
• Pregnant

Contacts and Locations

Locations

United States, Indiana

Eskenazi - Midtown Community Mental Health (James Wright Center)

Indianapolis, Indiana, United States, 46202

Sponsors and Collaborators

Indiana University

Eskenazi Health

More Information

• Responsible Party: Sally Wasmuth, Principal Investigator, Indiana University
• ClinicalTrials.gov Identifier: NCT03855761
• Other Study ID Numbers: swasmuth
• First Posted: February 27, 2019
• Last Update Posted: February 11, 2020
• Last Verified: February 2020

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:

Mental Disorders