Clinical trial NCT03267342: Financial and Mental Health: Exploratory Research
Official title: Financial and Mental Health: Exploratory Research
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Financial Difficulties
Lead sponsor: Yale University
Sponsor class: OTHER
Collaborators: name: National Institute of Mental Health (NIMH)
First posted: 2017-08-30
Enrollment: 31
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Investigators will be testing four main interventions for clients of a Community Mental Health Center (CMHC) with serious mental illnesses who currently have control of their finances, based on our study of the literature on financial health and our preliminary research at CMHC. Participating clients will be free to choose which of the services to access and will be free to withdraw at any time.
Primary purpose: TREATMENT

Brief summary: This project will develop a model for providing low-income people with mental illness with supports that enable them to manage their money as well as possible so that they are better able to meet their basic needs, to experience less anxiety about finances, and to live fulfilling lives in the community with the greatest possible degree of independence. The project will work within a citizenship-oriented approach to mental health care, which promotes recovery through linking people with mental illness to the rights, responsibilities, roles, resources and relationships necessary to achieve full membership in society. The aims of the project are to: train clinicians and peer staff so that they are able to integrate discussion of financial issues and concerns into their work with clients; provide on-site services including financial counseling, peer support groups, help with opening a bank account, and a savings club, and; develop a 'financial health' model which can be replicated by other providers of mental health services. The investigators hypothesize that the intervention will result in improved financial health, reduced financial stress, increased community participation, and improved satisfaction with care.

Detailed description: This study will pilot and assess financial health interventions that will provide clients with financial counseling, and information about and access to financial management tools within the framework of citizenship-oriented care, which approaches recovery by linking clients to the 5 Rs of rights, responsibilities, roles, resources and relationships needed to achieve full membership in society. Based on results of previous research, the investigators hypothesize that the intervention will result in improved financial health, reduced financial stress, increased community participation, and improved satisfaction with care for the target group.

Eligibility criteria: Inclusion Criteria:

* All participants will be adults (18 years or older).
* Participants will be clients receiving services from the CMHC.
* The investigators intend to include clients who do not have a representative payee and who are employed, or receiving supported employment services at CMHC, or interested in employment

Exclusion Criteria:

* factors that compromise an individual's ability to provide informed consent such as a co-occurring organic brain syndrome or dementia
* age under 18, as the mental health center serves adults only.

Primary outcomes:
measure: Financial health measure
timeFrame: up to 15 months
Secondary outcomes:
measure: Citizenship instrument
timeFrame: up to 15 months
measure: Wellness in 8 Dimensions Inventory
timeFrame: up to 15 months
measure: Financial Stress
timeFrame: up to 15 months
measure: Satisfaction with CMHC Care
timeFrame: up to 15 months
measure: Money mismanagement Measures
timeFrame: up to 15 months
Other outcomes:
Locations:
Study officials:
affiliation: Yale University
name: Michael Rowe
role: PRINCIPAL_INVESTIGATOR
References: