Mental Disorder Clinical Trial
Official title:
Team-based Telemedicine
Telemedicine can expand access to behavioral health services for people who have difficulty traveling to clinics. Travel can be especially challenging for older adults with mobility issues or access to reliable transportation. Assessment in the home can uncover factors impacting patient's physical and behavioral health. The goals of this project to document benefits and barriers to expanding reimbursement for telemedicine to older patient's home as the originating site.
The goal of this project is to document the benefits and barriers to expanding reimbursement
for telemedicine to older patient's home as the originating site. The objectives are:
- Develop training module for midlevel clinicians to be ready for dissemination
- Improved patient outcomes measures on satisfaction with care; functioning and symptoms
(anxiety, depression, traumatic stress, sleep apnea, alcohol use and problems)
- Reductions in emergency healthcare utilization and medications prescribed as obtained
from electronic health record (EHR) at the Federally Qualified Health Center (FQHC) and
self-reports
- Summarize activities and barriers, including communication with primary care provider,
identification and improvement of home environmental risks, and assistance to support
system
This is an observational study of team-based telepsychiatry in the home for one group and
team-based psychiatry in the clinic for the comparison group. The initial assessment will
include information and informed consent for treatment, biopsychosocial assessment, summary
for the psychiatrist, psychiatric evaluation and recommendations (all standard of care). To
that the investigators are adding informed consent for program evaluation with 6 month
follow-up with information for re-contacting (3 sources, addresses, email-telephone numbers),
and brief administration of selected instruments before informed consent for treatment. If an
eligible patient does not want to participate in the research study, the patient would still
receive services.
Additional telemedicine sessions and/or therapy sessions will be conducted as medically
needed in accordance with quality care. At six months (with one month window on either side)
the evaluation packet will be re-administered by the clinician if convenient or by the
research assistant either in person or by phone.
The sample size was selected to provide robust indicators of barriers to home based
assessments. The comparison group was included to provide a context for the findings. It is
anticipated that the home group will have greater problems at baseline than the clinic based
comparison group but both will show improvements.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT06102850 -
Adaptation of Critical Time Intervention for Young Adults With MH Challenges
|
N/A | |
| Completed |
NCT05649449 -
Testing Self-Directed Care in Florida
|
N/A | |
| Not yet recruiting |
NCT05886595 -
Being Young : My Mental Health
|
||
| Recruiting |
NCT04157062 -
An Open-Label Trial of Repetitive Transcranial Magnetic Stimulation for Opioid Use Disorder
|
N/A | |
| Completed |
NCT04505540 -
Start Treatment and Recovery for Opioid Use Disorder
|
N/A | |
| Withdrawn |
NCT03236766 -
Engaging Pacific Islander Perspectives on Mental Illness and Mental Health Services
|
N/A | |
| Completed |
NCT04284813 -
Families With Substance Use and Psychosis: A Pilot Study
|
N/A | |
| Not yet recruiting |
NCT04071145 -
Using Sensors to Measure Drug Concentrations in Exhaled Breath
|
||
| Completed |
NCT04457635 -
Effect of a 'Rapid-Return-to-work Program' in Mild Mental Disorders.
|
N/A | |
| Completed |
NCT01922258 -
Safety and Tolerability Study of Flexible Dosing of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer's Type
|
Phase 3 | |
| Recruiting |
NCT06054061 -
Evaluation the Efficacy "Think and Cope Positively" Program
|
N/A | |
| Completed |
NCT03118388 -
Engaging Homeless Youth in Vocational Training to Meet Their Mental Health Needs
|
Phase 2 | |
| Active, not recruiting |
NCT04196881 -
Effect of Attention Deficit Hyperactivity Disorder Knowledge Improvement Program on Male Primary School Teachers
|
N/A | |
| Terminated |
NCT04028609 -
Community Health Worker Intervention to Improve Post-Hospital Outcomes
|
N/A | |
| Active, not recruiting |
NCT03641664 -
FCT Study: Reducing the Need for Out-of-Home Placements
|
N/A | |
| Completed |
NCT05019937 -
Exploring Effectiveness and Mechanism of Change of an Implementation Strategy on Guideline Implementation in Schools
|
N/A | |
| Completed |
NCT03611998 -
Survivors of Sex Trafficking: Occupation-Based Interventions for Executive Functioning
|
N/A | |
| Active, not recruiting |
NCT04148508 -
App-based Mental Health Promotion in Young European Adults
|
N/A | |
| Completed |
NCT03704805 -
Effect of a Psychological Intervention on Antiretroviral Therapy and Mental Health Outcomes in HIV-positive Adults in Zimbabwe
|
N/A | |
| Recruiting |
NCT05087446 -
Effect of Early Assessment Team for Patients Referred to Outpatient Mental Health Care
|
N/A |