Clinical trial NCT02420340: Using The HOPES Program in Transition Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Serious Mental Illness
Psychosocial Rehabilitation
Keywords: Serious Mental Illness
Psychosocial Rehabilitation
Lead sponsor: Dartmouth-Hitchcock Medical Center
Sponsor class: OTHER
Collaborators: name: Glencliff Home
First posted: 2015-04-17
Enrollment: 12
Sex: ALL
Minimum age (years): 50
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Attendence-70% attendance or higher of HOPES groups over the course of the intervention
timeFrame: 12 months
measure: Change in Functional Skills (University California San Diego Performance-Based Skills Assessment)
timeFrame: Baseline, 12 months, 6 month follow-up
Secondary outcomes:
measure: Change in Medication Adherence and Management (Medication Management Ability Assessment)
timeFrame: Baseline, 12 months, 6 month follow-up
measure: Change in Social Skills (Social Skills Performance Assessment)
timeFrame: Baeline, 12 months, 6 month follow-up
Other outcomes:
Locations:
city: Glencliff
country: United States
facility: Glencliff Home
state: New Hampshire
Study officials:
References:
citation: Mueser KT, Pratt SI, Bartels SJ, Swain K, Forester B, Cather C, Feldman J. Randomized trial of social rehabilitation and integrated health care for older people with severe mental illness. J Consult Clin Psychol. 2010 Aug;78(4):561-73. doi: 10.1037/a0019629.