Testing a Novel Community-based Occupational Therapy Model

NCT ID: NCT03855761

Last Updated: 2020-02-11

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 27 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-02-18
• Study Completion Date: 2019-12-01

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.

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

Conditions

Mental Disorders, Severe

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Intervention group

Experimental Occupational Therapy services

Group Type: EXPERIMENTAL

Occupational Therapy

Intervention Type: BEHAVIORAL

Detailed narrative assessment and person-centered participation in meaningful activities

Comparison group

Treatment as usual

Group Type: ACTIVE_COMPARATOR

Case management; psychological services

Intervention Type: BEHAVIORAL

Weekly consultation with case managers to address housing and therapy needs

Interventions

Occupational Therapy

Detailed narrative assessment and person-centered participation in meaningful activities

Intervention Type: BEHAVIORAL

Case management; psychological services

Weekly consultation with case managers to address housing and therapy needs

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

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

Exclusion Criteria

• Under 18
• Pregnant

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Eskenazi Health

OTHER

Sponsor Role: collaborator

Indiana University

OTHER

Sponsor Role: lead

Responsible Party

Sally Wasmuth

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Eskenazi - Midtown Community Mental Health (James Wright Center)

Indianapolis, Indiana, United States

Countries

United States

Other Identifiers

swasmuth

Identifier Type: -

Identifier Source: org_study_id