Critical Time Intervention in the Transition From Hospital to Community in People With Severe Mental Illness
NCT ID: NCT00621465
Last Updated: 2011-12-30
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
150 participants
INTERVENTIONAL
2002-04-30
2007-10-31
Brief Summary
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Detailed Description
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Participation in this study will last 18 months. Potential participants will undergo an initial 15- to 30-minute interview that will include questions about current mental, physical, and living conditions; history of psychiatric services; and alcohol and drug use. Eligible participants will then undergo the first full interview, which will include a full review of medical records and will last between 2 and 3 hours. After this interview, participants will be assigned randomly to receive CTI or usual services. For participants assigned to CTI, a CTI specialist will visit participants in the hospital and in their homes and will stay in contact with participants for 9 months after hospital discharge. During visits with the CTI specialist, participants will receive training in community living skills and help finding service and support in the community. Participants assigned to usual services will receive the usual care and community services offered to people recently leaving a psychiatric hospital.
After leaving the hospital, participants in both groups will be asked to participate in 15 follow-up interviews, which will include repeat questions from the 2 initial interviews. Interviews will be conducted once every 6 weeks until 18 months after hospital discharge and will last between 60 and 90 minutes.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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1
Participants will receive standard aftercare and community care services.
Usual care
Usual care will include the standard aftercare and community care services.
2
Participants will receive usual care and the Critical Time Intervention.
Critical Time Intervention (CTI)
CTI is designed specifically to enhance the continuity and focus of care during the transition from psychiatric hospital to community care. CTI does not replace community treatment and support, but instead is meant to complement available services. CTI will provide training in community living skills and in team-managed transfer of caregiving from hospitals to services and supports in the community. Participants will receive CTI for 9 months after hospital discharge.
Usual care
Usual care will include the standard aftercare and community care services.
Interventions
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Critical Time Intervention (CTI)
CTI is designed specifically to enhance the continuity and focus of care during the transition from psychiatric hospital to community care. CTI does not replace community treatment and support, but instead is meant to complement available services. CTI will provide training in community living skills and in team-managed transfer of caregiving from hospitals to services and supports in the community. Participants will receive CTI for 9 months after hospital discharge.
Usual care
Usual care will include the standard aftercare and community care services.
Eligibility Criteria
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Inclusion Criteria
* Homelessness during the 18 months before study entry
* English speaking
18 Years
59 Years
ALL
No
Sponsors
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National Institute of Mental Health (NIMH)
NIH
New York State Psychiatric Institute
OTHER
Responsible Party
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Principal Investigators
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Daniel Herman, DSW
Role: PRINCIPAL_INVESTIGATOR
NYS Psychiatric Institute
Locations
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Rockland Psychiatric Center
Orangeburg, New York, United States
Countries
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References
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Herman D, Conover S, Felix A, Nakagawa A, Mills D. Critical Time Intervention: an empirically supported model for preventing homelessness in high risk groups. J Prim Prev. 2007 Jul;28(3-4):295-312. doi: 10.1007/s10935-007-0099-3. Epub 2007 Jun 1.
Other Identifiers
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DSIR SE-MS
Identifier Type: -
Identifier Source: secondary_id
R01 MH059716,#4640R
Identifier Type: -
Identifier Source: org_study_id