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

Primary Purpose

Schizophrenia, Schizoaffective Disorder, Bipolar Disorder

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
HOPES-I
Sponsored by
Dartmouth-Hitchcock Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Schizophrenia focused on measuring Older persons with SMI

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

  • Riverbend Community Mental Health Center
  • Community Council of Nashua

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Hopes-I

Arm Description

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.

Outcomes

Primary Outcome Measures

To develop an individually based psychosocial rehabilitation program for older adults with SMI. The program will be specified in treatment manuals and will match relevant skills training modules to the functional needs and preferences of consumers.

Secondary Outcome Measures

Full Information

First Posted
January 5, 2009
Last Updated
May 5, 2014
Sponsor
Dartmouth-Hitchcock Medical Center
Collaborators
National Institutes of Health (NIH)
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1. Study Identification

Unique Protocol Identification Number
NCT00817154
Brief Title
Individually Based Psychosocial Rehabilitation for Older People With Serious Mental Illness (SMI)
Official Title
Individually Based Psychosocial Rehabilitation for Older People With SMI
Study Type
Interventional

2. Study Status

Record Verification Date
May 2014
Overall Recruitment Status
Completed
Study Start Date
November 2009 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dartmouth-Hitchcock Medical Center
Collaborators
National Institutes of Health (NIH)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, Major Depression
Keywords
Older persons with SMI

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
38 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Hopes-I
Arm Type
Experimental
Arm Description
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
Intervention Name(s)
HOPES-I
Intervention Description
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.
Primary Outcome Measure Information:
Title
To develop an individually based psychosocial rehabilitation program for older adults with SMI. The program will be specified in treatment manuals and will match relevant skills training modules to the functional needs and preferences of consumers.
Time Frame
baseline, 9 months and 12 months, 15 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 50+; ability to provide voluntary informed consent or assent, with formal consent by a legal guardian; Axis I Disorder of schizophrenia, schizoaffective disorder, bipolar disorder, or major depression; Functional impairment based on New Hampshire state eligibility criteria for services to people with SMI; Enrollment in treatment for at least three months. Exclusion Criteria: residence in a nursing home or assisted living facility; Terminal illness expected to result in death within one year or less; Diagnosis of dementia, or significant cognitive impairment as indicated by a Mini Mental Status Evaluation (MMSE) score <24; Current active substance abuse or dependence; Past Participation in HOPES-G
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sarah I Pratt, Ph.D.
Organizational Affiliation
Dartmouth-Hitchcock Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Riverbend Community Mental Health Center
City
Concord
State/Province
New Hampshire
ZIP/Postal Code
03301
Country
United States
Facility Name
Community Council of Nashua
City
Nashua
State/Province
New Hampshire
ZIP/Postal Code
03060
Country
United States

12. IPD Sharing Statement

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

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