NCT03582813

Efficacy of Mental Health Self-Directed Care Financing

Randomized Controlled Trial of Mental Health Self-Directed Care Financing in Texas

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 216 (actual)
• Sponsor: University of Illinois at Chicago · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Self-directed care (SDC) programs give people with disabilities control over public funds to purchase traditional behavioral health and non-traditional services in order to remain outside of institutional settings. The purpose of this study is to determine the effects of this model on participant outcomes, service costs, and user satisfaction among people with serious mental illness.

Detailed description

Self-directed care (SDC) programs give people with disabilities control over public funds to purchase traditional behavioral health and non-traditional services in order to remain outside of institutional settings. The purpose of this study is to determine the effects of this model on participant outcomes, service costs, and user satisfaction among people with serious mental illness. Adults with serious mental illness served in the Texas public health system will be randomly assigned to SDC versus services as usual and assessed at baseline, 12-month, and 24-month follow-up. Mixed effects random-regression analysis will test for longitudinal changes in outcomes between the two study conditions. Differences in service costs will be analyzed using generalized linear models with negative binomial and zero-inflated negative binomial distribution. Non-traditional expenditures by the SDC participants will be examined descriptively. Service satisfaction in both study conditions will be assessed at one- and two-year follow-up.

Conditions

• Mental Illness Persistent

Interventions

Type	Name	Description
BEHAVIORAL	Self-directed care	Traditional and non-traditional behavioral health services are chosen from within and outside the public mental health system
BEHAVIORAL	Services as usual	Traditional behavioral health services are chosen from along those delivered at the patient's community mental health agency

Timeline

• Start date: 2009-03-01
• Primary completion: 2013-03-01
• Completion: 2013-03-01
• First posted: 2018-07-11
• Last updated: 2020-03-26
• Results posted: 2020-03-26