Study Results
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View full resultsBasic Information
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COMPLETED
NA
216 participants
INTERVENTIONAL
2009-03-01
2013-03-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Self-directed care
Subjects receive traditional behavioral health and non-traditional services via a self-directed care model in which they develop a person-directed plan and create a budget for the purchase of medically necessary goods and services. Program staff acting as service brokers help them secure needed goods and services from within or outside the public behavioral health provider system. A fiscal intermediary manages financial resources to pay providers and enable the purchase of approved goods..
Self-directed care
Traditional and non-traditional behavioral health services are chosen from within and outside the public mental health system
Services as usual
Subjects receive traditional behavioral health services as usual via the traditional service delivery system and its network of providers.
Services as usual
Traditional behavioral health services are chosen from along those delivered at the patient's community mental health agency
Interventions
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Self-directed care
Traditional and non-traditional behavioral health services are chosen from within and outside the public mental health system
Services as usual
Traditional behavioral health services are chosen from along those delivered at the patient's community mental health agency
Eligibility Criteria
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Inclusion Criteria
* diagnosis of serious mental illness consistent with federal Public Law 102-32
* assigned to a level of care eligible for a package of comprehensive clinical and rehabilitation services known as Service Package 3
* 18 years or older
* able to understand spoken English.
Exclusion Criteria
* homeless at time of recruitment
* history of violent behavior resulting in arrest and conviction in the past 10 years
* active substance use in the absence of substance use treatment
* enrollment in Medicare or dual beneficiary
* finances controlled by a third party (e.g., representative payee)
18 Years
ALL
No
Sponsors
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National Institute on Disability, Independent Living, and Rehabilitation Research
FED
Substance Abuse and Mental Health Services Administration (SAMHSA)
FED
University of Illinois at Chicago
OTHER
Responsible Party
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Judith A. Cook
Professor of Psychiatry
Principal Investigators
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Judith A Cook, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Illinois at Chicago, Department of Psychiatry
References
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Scanlan JN, Hancock N, Honey A. The Recovery Assessment Scale - Domains and Stages (RAS-DS): Sensitivity to change over time and convergent validity with level of unmet need. Psychiatry Res. 2018 Mar;261:560-564. doi: 10.1016/j.psychres.2018.01.042.
Davis C, Kellett S, Beail N. Utility of the Rosenberg self-esteem scale. Am J Intellect Dev Disabil. 2009 May;114(3):172-8. doi: 10.1352/1944-7558-114.3.172.
Pearlin LI, Schooler C. The structure of coping. J Health Soc Behav. 1978 Mar;19(1):2-21. No abstract available.
Williams GC, Deci EL. Internalization of biopsychosocial values by medical students: a test of self-determination theory. J Pers Soc Psychol. 1996 Apr;70(4):767-79. doi: 10.1037//0022-3514.70.4.767.
Cook JA, Shore S, Burke-Miller JK, Jonikas JA, Hamilton M, Ruckdeschel B, Norris W, Markowitz AF, Ferrara M, Bhaumik D. Mental Health Self-Directed Care Financing: Efficacy in Improving Outcomes and Controlling Costs for Adults With Serious Mental Illness. Psychiatr Serv. 2019 Mar 1;70(3):191-201. doi: 10.1176/appi.ps.201800337. Epub 2019 Jan 11.
Other Identifiers
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H133B050003
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
2008-0970
Identifier Type: -
Identifier Source: org_study_id
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