NCT03855761

Testing a Novel Community-based Occupational Therapy Model

Improving Equitable Care With Narrative Medicine and a Novel Community-based Occupational Therapy Care Model

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 27 (actual)
• Sponsor: Indiana University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This study will perform a needs assessment within an outpatient mental health unit, deliver an occupational therapy model of care, track patient and organizational outcomes, and provide training to staff to implement the model.

Detailed description

In this project the investigators' overall objective is to implement a narrative medicine-based occupational therapy (OT) model of care that brings client voices to the forefront of treatment planning and intervention to enhance the existing interdisciplinary system of service delivery within Midtown Community Mental Health (MCMH). The investigators hope to accomplish this objective via the following specific aims:1) Assess current programming - particularly processes surrounding client assessment, treatment planning, intervention, care-coordination/residential placement, and discharge - within MCMH sites to better understand limitations/gaps previously identified by the site manager that impact equitable and effective treatment 2) Adapt an existing care model - the Art of Healing Wellness Model (AoHW) - to meet the needs of MCMH, implement the model using an OT practitioner, and track feasibility/acceptability outcomes. 3) Re-assess MCMH programming post implementation to identify/demonstrate change resulting from the model 4) Using OT in the role of consultant, offer training to current MCMH staff to enable implementation of the adapted AoHW by MCMH (baccalaureate level) care coordinators 5) Preliminarily evaluate usability of the adapted AoHW by MCMH staff via focus groups following training and staff implementation

Conditions

• Mental Disorders, Severe

Interventions

Type	Name	Description
BEHAVIORAL	Occupational Therapy	Detailed narrative assessment and person-centered participation in meaningful activities
BEHAVIORAL	Case management; psychological services	Weekly consultation with case managers to address housing and therapy needs

Timeline

• Start date: 2019-02-18
• Primary completion: 2019-12-01
• Completion: 2019-12-01
• First posted: 2019-02-27
• Last updated: 2020-02-11

Locations

1 site across 1 country: United States