Skip to main content
OpenTrials
Completed

NCT Number: NCT02520024

Assessing the Impact of Self-directed Care, Within a Medicaid-funded Environment,on Participation and Community Living

This project proposed to demonstrate the effectiveness, costs, and benefits to participation and community living self-directed care programming within a financially sustainable Medicaid managed care environment. The study examined outcomes associated with the implementation of a novel self-directed care (SDC) approach being implemented in Delaware County, Pennsylvania in which consumers were able to access a set amount of renewable funds per year and direct how they were spent, both to purchase the types and amounts of rehabilitation and treatment services they desire (and from whom they choose) and to purchase a broad-range of individualized resources and services that are generally outside of Medicaid funding (e.g., health club memberships, yoga classes, support in taking care of bills).

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Major Depression Bipolar Disorder Bipolar and Related Disorders Depressive Disorder Depressive Disorder, Major Mental Disorders Mood Disorders Schizophrenia Schizophrenia Spectrum and Other Psychotic Disorders

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adults between 18-65 who are currently receiving Medicaid-reimbursed services in Delaware County, Pennsylvania for either a schizophrenia-spectrum, major depression, or bipolar disorder;
  • Individuals with a cost profile within the 60-90% band of all Magellan-administered Medicaid recipients in the county (estimated service costs between $10,048 and $22,324); 3) No more than two inpatient hospitalizations of 10 days per stay, over a 2 year period prior to the study;
  • No hospitalization within 6 months of the study; 5) Ability to understand self-directed care requirement and express interest in working with a "recovery coach."

Exclusion criteria

  • do not speak English;
  • have a legal guardian;
  • are unable to give informed consent

Treatment and study plan

Self-directed care

Behavioral

Primary outcomes

  1. Change from Baseline TU Community Participation Questionnaire to follow up at 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

    Used to gather information about the frequency of participation in multiple domains (e.g., employment, education, spirituality, leisure/recreation, attendance at self-help groups, etc.) in the last 30 days, whether or not they did the activity enough, not enough, or too much in addition to their level of satisfaction with their level of participation in the activity.

  2. Change from Baseline Recovery Assessment Scale to follow up at 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

  3. Change from Baseline Quality of Life to 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

  4. Change from Baseline Hopkins Symptom Checklist to 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

  5. Change from Baseline Empowerment Scale to 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

  6. Change from Baseline Coping Mastery Questionnaire to 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

  7. Change from Baseline Perceived Competence for Recovery Questionnaire to 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

  8. Change from Baseline Perceived Autonomy Support: The Mental Health Questionnaire to 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

  9. Change from Baseline Elements of a Recovery Facilitating Systems Assessment Questionnaire - Adult Version to 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

  10. Change from Baseline Revised Camberwell Assessment of Need Questionnaire to 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

  11. Change from Baseline Treatment Self-Regulation Questionnaire to 12 months and 24 months post-baseline

    Time frame: Baseline, 12 months- and 24 months post-baseline

Sponsors and collaborators

Lead sponsor

Temple University Collaborative on Community Inclusion

Other

Registry information

Important dates

Study start
2010
Primary completion
2012
Study completion
2012
First posted
Aug 11, 2015
Registry last updated
Aug 11, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.