Mental Disorders Clinical Trial
Official title:
Improving Primary Care in Patients With Mental Disorders
This study will determine the effectiveness of medical case management in improving the medical care of people with mental disorders or substance abuse problems.
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.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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