The Integrated Care Model for Homeless Mothers

Not Applicable

Completed

• Conditions: Depression
• Interventions: Behavioral: ICMHM

• Registration Number: NCT02723058
• Lead Sponsor: University of Massachusetts, Worcester

Brief Summary

The purpose of this study is to pilot test an adapted collaborative care model for homeless mothers with depression.

Detailed Description

Homeless mothers are more vulnerable to Major Depressive Disorder (MDD) than comparable groups of impoverished mothers, with rates in recent community studies approaching 50%. Even though primary care offers an ideal venue to identify and manage depression among women who commonly fail to receive needed mental health services, rigorously tested primary care-based treatment strategies that address the needs of homeless mothers with depression are lacking. This study reports results on a pilot test and feasibility findings of a new intervention, the Integrated Care Model for Homeless Mothers (ICMHM), adapted from the collaborative care model for depression (CCM) to address unique aspects of care for homeless mothers who screened positive for depression during a shelter-based primary care visit.

Study Timeline

• Study Start: 2009-12
• Primary Completion: 2012-11
• Study Completion: 2013-11
• Status Verified: 2016-03
• Study First Submitted: 2016-03-21
• Study First Submitted QC: 2016-03-24
• Last Update Submitted: 2016-03-24
• Study First Posted: 2016-03-30
• Last Update Posted: 2016-03-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 67

Inclusion Criteria

• Mothers who are residing in emergency shelter
• 18 years of age or older
• Screen positive for depression
• Speak English or Spanish

Exclusion Criteria

• Not pregnant
• Not currently receiving depression treatment
• Not currently psychotic

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
ICMHM	ICMHM	ICMHM mothers receive services of a primary care clinician (PCP) and a care manager both trained in depression care management in a shelter-based primary care clinic.

Primary Outcome Measures

Name	Time	Method
Change in The Hopkins Depression Symptom Checklist -Depression Scale 20 (Williams et al, 2004)	The primary end point is 6 months

Secondary Outcome Measures

Name	Time	Method
Number of visits to the care manager and primary care physician	The primary end point is 6 months	Visits documented between study entry and six months recorded from EMR
New antidepressant medication prescriptions	The primary end point is 6 months	Documentation of new antidepressant medication prescriptions between study entry and six months recorded in EMR
Patient Reactions Assessment (Galassi et al, 1992)	The primary end point is 6 months
Helping Alliance Questionnaire (Luborsky et al, 1985)	The primary end point is 6 months