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

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-11-30

Study Completion Date

2013-12-31

Brief Summary

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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.

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Detailed Description

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Conditions

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Schizophrenia Schizoaffective Disorder Bipolar Disorder Major Depression

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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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.

Group Type EXPERIMENTAL

HOPES-I

Intervention Type BEHAVIORAL

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.

Interventions

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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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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

Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No