NCT00183313

Improving Primary Care in Patients With Mental Disorders

• Status: Completed
• Phase: Phase 3
• Study type: Interventional
• Enrollment: 407 (actual)
• Sponsor: Emory University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

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.

Conditions

• Mental Disorders

Interventions

Type	Name	Description
BEHAVIORAL	Nurse case management	Nurse case management is a population-based medical case management program to improve the delivery of primary medical care to patients with serious mental illness in a Community Mental Health Center (CMHC) in Atlanta GA. The treatment draws on elements from the primary care, nursing case management, chronic disease, health behavior change literature, and from the study team's experience in integrating primary care services for patients with serious mental illnesses.
BEHAVIORAL	Usual care	Usual care includes standard mental health services.

Timeline

• Start date: 2004-07-01
• Primary completion: 2009-07-01
• Completion: 2009-07-01
• First posted: 2005-09-16
• Last updated: 2013-11-19

Locations

2 sites across 1 country: United States