Skip to main content
OpenTrials
Completed

NCT Number: NCT00183313

Improving Primary Care in Patients With Mental Disorders

This study will determine the effectiveness of medical case management in improving the medical care of people with mental disorders or substance abuse problems.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Mental Disorders Behavior Personal Satisfaction Psychological Well-Being

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Emory University, Atlanta, Georgia, United States

Loading trial locations.

About this study

Poor quality of care may contribute to impaired health status and increased mortality in individuals with serious mental disorders and substance abuse problems; interventions designed to improve medical care for this population need to be developed. This study will develop a population-based medical case management model for improving the primary medical care of patients at an inner city community mental health center.

This study will last 2 years. Participants will be randomly assigned to receive medical case management or standard of care (typically drug and behavioral therapy) for 2 years. Participants in the case management group will receive help in overcoming barriers to receiving primary care. Participants will also undergo 5 interviews over the 2-year study duration, and have annual chart reviews. Results of the interviews will be used to assess quality of primary care, service use, health outcomes, psychiatric symptoms, and substance use.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Diagnosis of mental illness or substance abuse
  • Patient at Florida Hall (Grady Health Systems)

Exclusion criteria

  • Current use of medical case management

Treatment and study plan

Nurse Case Management

Behavioral

Nurse case management is a population-based medical case management program to improve the delivery of primary medical care to patients with serious mental illness in a Community Mental Health Center (CMHC) in Atlanta GA. The treatment draws on elements from the primary care, nursing case management, chronic disease, health behavior change literature, and from the study team's experience in integrating primary care services for patients with serious mental illnesses.

Usual Care

Behavioral

Usual care includes standard mental health services.

Primary outcomes

  1. Quality of primary medical care

    Time frame: Measured over 2 years

Secondary outcomes

  1. Health status

    Time frame: Measured over 2 years

  2. Psychiatric symptoms

    Time frame: 2004-2009

  3. Costs

    Time frame: 2004-2009

Sponsors and collaborators

Lead sponsor

Emory University

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Important dates

Study start
2004
Primary completion
2009
Study completion
2009
First posted
Sep 16, 2005
Registry last updated
Nov 19, 2013

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.