Testing a Novel Community-based Occupational Therapy Model

Mental Disorders, Severe Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03855761
• Other study ID #: swasmuth
• Status: Completed
• Phase: N/A
• Start date: February 18, 2019
• Est. completion date: December 1, 2019

Study information

• Verified date: February 2020
• Source: Indiana University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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

Recruitment information / eligibility

• Status: Completed
• Enrollment: 27
• Est. completion date: December 1, 2019
• Est. primary completion date: December 1, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria

• Patient on a pre-determined treatment team at the outpatient mental health recruitment site

Exclusion Criteria

• Under 18

• Pregnant

Related Conditions & MeSH terms

• Mental Disorders
• Mental Disorders, Severe

Intervention

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

Locations

Country	Name	City	State
United States	Eskenazi - Midtown Community Mental Health (James Wright Center)	Indianapolis	Indiana

Sponsors (2)

Lead Sponsor	Collaborator
Indiana University	Eskenazi Health

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Occupational Circumstances Assessment Interview & Rating Scale (OCAIRS)	The "Occupational Circumstances Assessment Interview and Rating Scale" is a semi-structured interview that measures a person's current participation in life in 12 areas:roles, habits, personal causation, values, interests, skills, short-term goals, long-term goals, interpretation of past experiences, physical environment, social environment, & readiness for change. The assessment provides an overall quantitative summed score of participation ranging from 12 to 48 with a higher number indicating greater participation as well as individual scores of 1-4 for each subsection.	12 weeks