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

Study Overview
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Brief Summary
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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.

Official Title
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Individually Based Psychosocial Rehabilitation for Older People With SMI

Conditions
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Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, Major Depression

Intervention / Treatment
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* Behavioral: HOPES-I


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Hopes-I<br>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. | Behavioral: HOPES-I<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. |  | baseline, 9 months and 12 months, 15 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Older persons with SMI