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Completed

NCT Number: NCT00817154

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

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.

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Key information

Conditions

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

Age range

50 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Riverbend Community Mental Health Center, Concord, New Hampshire, United States

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Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

HOPES-I

Behavioral

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 outcomes

  1. 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

Sponsors and collaborators

Lead sponsor

Dartmouth-Hitchcock Medical Center

Other

Collaborators

  • National Institutes of Health (NIH)

Registry information

Official study title

Individually Based Psychosocial Rehabilitation for Older People With SMI

Important dates

Study start
2009
Primary completion
2013
Study completion
2013
First posted
Jan 6, 2009
Registry last updated
May 7, 2014

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.

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