Using The HOPES Program in Transition Care

Study Overview
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Brief Summary
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This pilot study will collect information about the the potential to use an evidence-based skills training program designed for older people with serious mental illness (SMI), the Helping Older People Experience Success (HOPES) program, to help nursing home residents with SMI gain the skills needed to successfully live in the community.

Detailed Description
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This pilot study will collect information about the the potential to use an evidence-based skills training program designed for older people with serious mental illness (SMI), the Helping Older People Experience Success (HOPES) program, to help nursing home residents with SMI gain the skills needed to successfully live in the community. Although HOPES was originally designed to help older people with SMI maintain their residence in the community, the curriculum holds promise for helping nursing home residents with SMI to learn how to return to life in the community. Positive findings would be used to develop a grant application for a larger study of HOPES in nursing home residents with SMI. To evaluate the feasibility and acceptability of HOPES in nursing home settings, the investigators will enroll up to 12 residents of the Glencliff Home in Glencliff, New Hampshire. Participants will be individuals interested in discharge from Glencliff and are willing to attend multiple weekly skills training classes and several assessment sessions. Study participation will last until 6 months after discharge from Glencliff.

Conditions
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Serious Mental Illness, Psychosocial Rehabilitation

Intervention / Treatment
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* Behavioral: HOPES Program (Helping Older People Experience Success)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Primary DSM-IV Axis I diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or major depressive disorder as defined in participants' chart An expressed willingness to be discharged from Glencliff Home to the community. Voluntary informed consent for participation in the study by the participant or by the participant's legally designated guardian Exclusion Criteria: Terminal physical illness OR significant medical instability Inability to speak or and understand English Primary or co-morbid diagnosis of dementia

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 |
| --- | --- |
| Other: HOPES Group<br>Participants will participate in twice weekly sessions of the HOPES program until curriculum is completed (approximately 1 year) or discharge from Glencliff home | Behavioral: HOPES Program (Helping Older People Experience Success)<br>* Weekly group skills training classes aimed at improving skills and knowledge in areas related to successful living in the community including: independent living, healthy living, social skills, leisure skills, and management of health care.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Attendence-70% attendance or higher of HOPES groups over the course of the intervention | attendance records | 12 months | 
| Change in Functional Skills (University California San Diego Performance-Based Skills Assessment) | University California San Diego Performance-Based Skills Assessment | Baseline, 12 months, 6 month follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Medication Adherence and Management (Medication Management Ability Assessment) | Medication Management Ability Assessment | Baseline, 12 months, 6 month follow-up | 
| Change in Social Skills (Social Skills Performance Assessment) | Social Skills Performance Assessment | Baeline, 12 months, 6 month follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Serious Mental Illness, Psychosocial Rehabilitation