Clinical trial NCT05649449: Testing Self-Directed Care in Florida
Official title: Money Follows the Person Through Self-Directed Care in Florida
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Disorder
Keywords: self-directed care
Lead sponsor: University of Illinois at Chicago
Sponsor class: OTHER
Collaborators: name: National Institute on Disability, Independent Living, and Rehabilitation Research
First posted: 2022-12-14
Enrollment: 42
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Self-directed care is a recovery-oriented model of community mental health service delivery in which participants manage a personal budget from which they purchase goods and services, including specific types of mental health care, social supports, and items that allow them to recover their health and emotional wellness and live independently.
Primary purpose: TREATMENT

Brief summary: This study tests a psychosocial intervention called mental health self-directed care by assessing its impact on recovery, mental health status, rehabilitation outcomes, and service costs in the state of Florida.

Detailed description: With additional funding from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR), a new cohort of 40 study subjects will be recruited in the state of Florida to test mental health self-directed care (SDC). SDC is a self-directed model of service delivery in which participants manage a personal budget from which they purchase goods and services, including specific types of mental health care, social supports, and items that allow them to recover their health and emotional wellness and live independently. Investigators are studying the impact of SDC on recovery, mental health status, rehabilitation outcomes, and service costs. Working with Lutheran Services Florida, a public managing entity coordinating mental health care management in northeastern and central Florida, adults with mental health conditions will be recruited into the study and randomly assigned to receive SDC for one year or continue receiving services as usual. Assessments will occur at baseline, 6- and 12-month followup.

Eligibility criteria: Inclusion Criteria:

* Age 18 and older
* Serious mental illness
* Receiving services coordinated by behavioral health managing entity

Exclusion Criteria:

* Cognitive impairment preventing informed consent
* Enrollment in Medicaid/Medicare
* Representative payeeship
* Court-mandated treatment
* Recent substance disorder crisis
* In residential treatment
* History of violent behavior in the past 10 years

Primary outcomes:
measure: Change in perceived competence for mental health self-management
timeFrame: study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention)
Secondary outcomes:
measure: Change in met and unmet needs related to multiple life domains
timeFrame: study entry (pre-intervention), 6-months (intervention mid-point), 12 months (immediate post-intervention)
measure: Change in perception of service providers as supportive of client autonomy
timeFrame: study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention)
measure: Change in self-rated recovery from mental illness
timeFrame: study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention)
measure: Change in employment status
timeFrame: study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention)
measure: Change in service costs
timeFrame: 12-month period of study participation
Other outcomes:
Locations:
city: Chicago
country: United States
facility: University of Illinois at Chicago, Department of Psychiatry
state: Illinois
Study officials:
References: