Improving Primary Care in Patients With Mental Disorders

Phase 3

Completed

• Conditions: Mental Disorders
• Interventions: Behavioral: Usual care; Behavioral: Nurse case management

• Registration Number: NCT00183313
• Lead Sponsor: Emory University

Brief Summary

This study will determine the effectiveness of medical case management in improving the medical care of people with mental disorders or substance abuse problems.

Detailed Description

Poor quality of care may contribute to impaired health status and increased mortality in individuals with serious mental disorders and substance abuse problems; interventions designed to improve medical care for this population need to be developed. This study will develop a population-based medical case management model for improving the primary medical care of patients at an inner city community mental health center.

This study will last 2 years. Participants will be randomly assigned to receive medical case management or standard of care (typically drug and behavioral therapy) for 2 years. Participants in the case management group will receive help in overcoming barriers to receiving primary care. Participants will also undergo 5 interviews over the 2-year study duration, and have annual chart reviews. Results of the interviews will be used to assess quality of primary care, service use, health outcomes, psychiatric symptoms, and substance use.

Study Timeline

• Study Start: 2004-07
• Study First Submitted: 2005-09-12
• Study First Submitted QC: 2005-09-12
• Study First Posted: 2005-09-16
• Primary Completion: 2009-07
• Study Completion: 2009-07
• Status Verified: 2013-11
• Last Update Submitted: 2013-11-18
• Last Update Posted: 2013-11-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 407

Inclusion Criteria

• Diagnosis of mental illness or substance abuse
• Patient at Florida Hall (Grady Health Systems)

Exclusion Criteria

• Current use of medical case management

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
2	Usual care	Participants will receive usual care
1	Nurse case management	Participants will receive nurse case management intervention

Primary Outcome Measures

Name	Time	Method
Quality of primary medical care	Measured over 2 years

Secondary Outcome Measures

Name	Time	Method
Psychiatric symptoms	2004-2009
Health status	Measured over 2 years
Costs	2004-2009

Trial Locations

Locations (2)

Grady Health Systems; 🇺🇸 Atlanta, Georgia, United States

Emory University; 🇺🇸 Atlanta, Georgia, United States