Schizophrenia Spectrum & Other Psychotic Disorders Clinical Trial
— SMI-PACTOfficial title:
PACT to Improve Health Care in People With Serious Mental Illness (SMI-PACT)
Verified date | February 2020 |
Source | VA Office of Research and Development |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
People with serious mental illness have difficulty making good use of primary care, and die, on average, years earlier than others in the population. The greatest contributors to this premature mortality are medical illnesses, especially cardiovascular disease and cancer. The Patient Centered Medical Home is a model for reorganizing primary care practice so that healthcare is more effective, efficient, and user-friendly. It has been implemented across VA as the, "Patient Aligned Care Team" (PACT). It is unclear, however, how this PACT model applies to people whose predominant illness is treated by specialists. This is the case for people with serious mental illness (SMI), many of whom receive ongoing treatment at mental health clinics. To achieve optimal health outcomes in the population with SMI, it may be necessary to adapt the PACT model so that it includes approaches that have proven to improve healthcare in this population. This project implements an adapted "SMI-PACT" model, and evaluates its effect on Veterans with SMI.
Status | Completed |
Enrollment | 331 |
Est. completion date | February 6, 2019 |
Est. primary completion date | February 6, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: Patient subjects: - currently enrolled at one of the 3 participating VA healthcare centers - Veteran - diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, chronic severe PTSD, or recurrent major depression with psychosis - Milestone of Recovery Scale (MORS) score is 6 or above (indicates recovery status is coping rehabilitating or better) Staff subjects: - employed at one of the 3 participating VA healthcare centers - member of PACT, member of SMI PACT, member of primary care mental health integration, provider at mental health clinic, administrator overseeing mental health, or administrator overseeing primary care Exclusion Criteria: - none |
Country | Name | City | State |
---|---|---|---|
United States | VA Southern Nevada Healthcare System, North Las Vegas, NV | Las Vegas | Nevada |
United States | VA San Diego Healthcare System, San Diego, CA | San Diego | California |
United States | VA Greater Los Angeles Healthcare System, West Los Angeles, CA | West Los Angeles | California |
Lead Sponsor | Collaborator |
---|---|
VA Office of Research and Development |
United States,
Young AS, Cohen AN, Chang ET, Flynn AWP, Hamilton AB, Oberman R, Vinzon M. A clustered controlled trial of the implementation and effectiveness of a medical home to improve health care of people with serious mental illness: study protocol. BMC Health Serv — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Patient Psychopathology: Behavior and Symptom Identification Scale (BASIS-R) Psychosis | Assesses patient psychopathology in the domain of psychosis. Scores range from 0 to 4. Higher scores mean a worse outcome. | 15 months | |
Other | Patient Psychopathology: Behavior and Symptom Identification Scale (BASIS-R) Depression Daily Functioning | Assesses patient psychopathology in the domain of depression/daily functioning. Scores range from 0 to 4. Higher scores mean a worse outcome. | 15 months | |
Other | Patient Psychopathology: Behavior and Symptom Identification Scale (BASIS-R) Interpersonal Functioning | Assesses patient psychopathology in the domain of interpersonal functioning. Scores range from 0 to 4. Lower scores mean a worse outcome. | 15 months | |
Primary | Provision of Appropriate Preventive and Medical Treatments | Screened for body mass index, blood pressure, lipids, and glucose or hemoglobin A1c. | 15 months | |
Primary | Patient Health-related Quality of Life: Veterans RAND 6 Item Health Survey (VR-6) Physical Health | Physical health related quality of life. The scale range is 0 to 100. Higher scores mean a better outcome. | 15 months | |
Primary | Patient Health-related Quality of Life: Veterans RAND 6 Item Health Survey (VR-6) Mental Health | Mental health related quality of life. The scale range is 0 to 100. Higher scores mean a better outcome. | 15 months | |
Primary | Patient Satisfaction With Care: Ambulatory Care Experiences Survey (ACES; Short Form) | Evaluates patients' experiences and satisfaction with a physician's practice. The ACES uses the Institute of Medicine definition of primary care as its underlying conceptual model for measurement. The ACES range is 0 to 100. Higher scores mean a better outcome. | 15 months | |
Primary | Patient Satisfaction With Care: Patient Assessment of Chronic Illness Care (ACIC/PACIC) | Assesses the patient's experience and satisfaction with receipt of chronic care. This measure aligns with the Chronic Care Model. The ACIC/PACIC ranges from from 1 to 5. Higher scores mean a better outcome. | 15 months |