The Integrated Care Model for Homeless Mothers (ICMHM)

March 24, 2016 updated by: Linda Weinreb, University of Massachusetts, Worcester
The purpose of this study is to pilot test an adapted collaborative care model for homeless mothers with depression.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Homeless mothers are more vulnerable to Major Depressive Disorder (MDD) than comparable groups of impoverished mothers, with rates in recent community studies approaching 50%. Even though primary care offers an ideal venue to identify and manage depression among women who commonly fail to receive needed mental health services, rigorously tested primary care-based treatment strategies that address the needs of homeless mothers with depression are lacking. This study reports results on a pilot test and feasibility findings of a new intervention, the Integrated Care Model for Homeless Mothers (ICMHM), adapted from the collaborative care model for depression (CCM) to address unique aspects of care for homeless mothers who screened positive for depression during a shelter-based primary care visit.

Study Type

Interventional

Enrollment (Actual)

67

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • Mothers who are residing in emergency shelter
  • 18 years of age or older
  • Screen positive for depression
  • Speak English or Spanish

Exclusion Criteria:

  • Not pregnant
  • Not currently receiving depression treatment
  • Not currently psychotic

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: ICMHM
ICMHM mothers receive services of a primary care clinician (PCP) and a care manager both trained in depression care management in a shelter-based primary care clinic.
Behavioral: ICMHM
ICMHM participants receive a collaborative care model adapted to include an engagement interview, attention to co-morbid conditions, and attention to basic needs.
No Intervention: Treatment as Usual
Treatment as Usual mothers receive usual services of a PCP and case manager from a shelter-based primary care clinic. .

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Change in The Hopkins Depression Symptom Checklist -Depression Scale 20 (Williams et al, 2004)
Time Frame: The primary end point is 6 months
The primary end point is 6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of visits to the care manager and primary care physician
Time Frame: The primary end point is 6 months
Visits documented between study entry and six months recorded from EMR
The primary end point is 6 months
New antidepressant medication prescriptions
Time Frame: The primary end point is 6 months
Documentation of new antidepressant medication prescriptions between study entry and six months recorded in EMR
The primary end point is 6 months
Patient Reactions Assessment (Galassi et al, 1992)
Time Frame: The primary end point is 6 months
The primary end point is 6 months
Helping Alliance Questionnaire (Luborsky et al, 1985)
Time Frame: The primary end point is 6 months
The primary end point is 6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Massachusetts, Worcester

Collaborators

National Institute of Mental Health (NIMH)

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

December 1, 2009

Primary Completion (Actual)

November 1, 2012

Study Completion (Actual)

November 1, 2013

Study Registration Dates

First Submitted

March 21, 2016

First Submitted That Met QC Criteria

March 24, 2016

First Posted (Estimate)

March 30, 2016

Study Record Updates

Last Update Posted (Estimate)

March 30, 2016

Last Update Submitted That Met QC Criteria

March 24, 2016

Last Verified

March 1, 2016

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 1R34MH085881 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Depression

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Belgium

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

3
Subscribe