Money Follows the Person Through Self-Directed Care in Florida
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- Change in perceived competence for mental health self-management
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Research interviewers are blinded to study condition.
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 and older
- •Serious mental illness
- •Receiving services coordinated by behavioral health managing entity
排除标准
- •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
结局指标
主要结局
Change in perceived competence for mental health self-management
时间窗: study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention)
Perceived competence is measured with the Perceived Competence Scale that includes 4 items that assess subjects' self-rated ability to manage their mental health and recovery, with scores ranging from 4 to 28, with higher scores indicating greater perceived competence for mental health self-management.
次要结局
- Change in employment status(study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention))
- Change in perception of service providers as supportive of client autonomy(study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention))
- Change in self-rated recovery from mental illness(study entry (pre-intervention), 6-months (intervention mid-point), 12-months (immediate post-intervention))
- Change in service costs(12-month period of study participation)
- Change in met and unmet needs related to multiple life domains(study entry (pre-intervention), 6-months (intervention mid-point), 12 months (immediate post-intervention))
研究者
Judith A. Cook
Professor
University of Illinois at Chicago