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Completed

NCT Number: NCT02723058

The Integrated Care Model for Homeless Mothers

The purpose of this study is to pilot test an adapted collaborative care model for homeless mothers with depression.

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Key information

Conditions

Depression Behavior Behavioral Symptoms

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

About this study

Homeless mothers are more vulnerable to Major Depressive Disorder (MDD) than comparable groups of impoverished mothers, with rates in recent community studies approaching 50%. Even though primary care offers an ideal venue to identify and manage depression among women who commonly fail to receive needed mental health services, rigorously tested primary care-based treatment strategies that address the needs of homeless mothers with depression are lacking. This study reports results on a pilot test and feasibility findings of a new intervention, the Integrated Care Model for Homeless Mothers (ICMHM), adapted from the collaborative care model for depression (CCM) to address unique aspects of care for homeless mothers who screened positive for depression during a shelter-based primary care visit.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Mothers who are residing in emergency shelter
  • 18 years of age or older
  • Screen positive for depression
  • Speak English or Spanish

Exclusion criteria

  • Not pregnant
  • Not currently receiving depression treatment
  • Not currently psychotic

Treatment and study plan

ICMHM

Behavioral

ICMHM participants receive a collaborative care model adapted to include an engagement interview, attention to co-morbid conditions, and attention to basic needs.

Primary outcomes

  1. Change in The Hopkins Depression Symptom Checklist -Depression Scale 20 (Williams et al, 2004)

    Time frame: The primary end point is 6 months

Secondary outcomes

  1. Number of visits to the care manager and primary care physician

    Time frame: The primary end point is 6 months

    Visits documented between study entry and six months recorded from EMR

  2. New antidepressant medication prescriptions

    Time frame: The primary end point is 6 months

    Documentation of new antidepressant medication prescriptions between study entry and six months recorded in EMR

  3. Patient Reactions Assessment (Galassi et al, 1992)

    Time frame: The primary end point is 6 months

  4. Helping Alliance Questionnaire (Luborsky et al, 1985)

    Time frame: The primary end point is 6 months

Sponsors and collaborators

Lead sponsor

University of Massachusetts, Worcester

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Acronym: ICMHM

Important dates

Study start
2009
Primary completion
2012
Study completion
2013
First posted
Mar 30, 2016
Registry last updated
Mar 30, 2016

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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