Using The HOPES Program in Transition Care

Not Applicable

Completed

• Conditions: Serious Mental Illness; Psychosocial Rehabilitation
• Interventions: Behavioral: HOPES Program ("Helping Older People Experience Success")

• Registration Number: NCT02420340
• Lead Sponsor: Dartmouth-Hitchcock Medical Center

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.

Study Timeline

• Study Start: 2014-09
• Study First Submitted: 2015-04-08
• Study First Submitted QC: 2015-04-16
• Study First Posted: 2015-04-17
• Primary Completion: 2015-12
• Status Verified: 2016-08
• Last Update Submitted: 2016-08-01
• Last Update Posted: 2016-08-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 12

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
HOPES Group	HOPES Program ("Helping Older People Experience Success")	Participants will participate in twice weekly sessions of the HOPES program until curriculum is completed (approximately 1 year) or discharge from Glencliff home

Primary Outcome Measures

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

Secondary Outcome Measures

Name	Time	Method
Change in Social Skills (Social Skills Performance Assessment)	Baeline, 12 months, 6 month follow-up	Social Skills Performance Assessment
Change in Medication Adherence and Management (Medication Management Ability Assessment)	Baseline, 12 months, 6 month follow-up	Medication Management Ability Assessment

Trial Locations

Locations (1)

Glencliff Home; 🇺🇸 Glencliff, New Hampshire, United States