Individually Based Psychosocial Rehabilitation for Older People With Serious Mental Illness (SMI)
Schizophrenia, Schizoaffective Disorder, Bipolar Disorder
About this trial
This is an interventional health services research trial for Schizophrenia focused on measuring Older persons with SMI
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
Sites / Locations
- Riverbend Community Mental Health Center
- Community Council of Nashua
Arms of the Study
Arm 1
Experimental
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.