The Integrated Care Model for Homeless Mothers

NCT ID: NCT02723058

Last Updated: 2016-03-30

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

NA

Total Enrollment

67 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2013-11-30

Brief Summary

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The purpose of this study is to pilot test an adapted collaborative care model for homeless mothers with depression.

Detailed Description

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Homeless mothers are more vulnerable to Major Depressive Disorder (MDD) than comparable groups of impoverished mothers, with rates in recent community studies approaching 50%. Even though primary care offers an ideal venue to identify and manage depression among women who commonly fail to receive needed mental health services, rigorously tested primary care-based treatment strategies that address the needs of homeless mothers with depression are lacking. This study reports results on a pilot test and feasibility findings of a new intervention, the Integrated Care Model for Homeless Mothers (ICMHM), adapted from the collaborative care model for depression (CCM) to address unique aspects of care for homeless mothers who screened positive for depression during a shelter-based primary care visit.

Conditions

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Depression

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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ICMHM

ICMHM mothers receive services of a primary care clinician (PCP) and a care manager both trained in depression care management in a shelter-based primary care clinic.

Group Type EXPERIMENTAL

ICMHM

Intervention Type BEHAVIORAL

ICMHM participants receive a collaborative care model adapted to include an engagement interview, attention to co-morbid conditions, and attention to basic needs.

Treatment as Usual

Treatment as Usual mothers receive usual services of a PCP and case manager from a shelter-based primary care clinic. .

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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ICMHM

ICMHM participants receive a collaborative care model adapted to include an engagement interview, attention to co-morbid conditions, and attention to basic needs.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Mothers who are residing in emergency shelter
* 18 years of age or older
* Screen positive for depression
* Speak English or Spanish

Exclusion Criteria

* Not pregnant
* Not currently receiving depression treatment
* Not currently psychotic
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

University of Massachusetts, Worcester

OTHER

Sponsor Role lead

Responsible Party

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Linda Weinreb

Vice chair and professor, Family Medicine and Community Health

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Weinreb L, Upshur CC, Fletcher-Blake D, Reed G, Frisard C. Managing Depression Among Homeless Mothers: Pilot Testing an Adapted Collaborative Care Intervention. Prim Care Companion CNS Disord. 2016 Apr 21;18(2):10.4088/PCC.15m01907. doi: 10.4088/PCC.15m01907. eCollection 2016.

Reference Type DERIVED
PMID: 27486545 (View on PubMed)

Other Identifiers

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1R34MH085881

Identifier Type: NIH

Identifier Source: secondary_id

View Link

1R34MH085881

Identifier Type: NIH

Identifier Source: org_study_id

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