Psychosocial Rehabilitation, Serious Mental Illness
Conditions
Keywords
Serious Mental Illness, Psychosocial Rehabilitation
Brief summary
This pilot study will collect information about the the potential to use an evidence-based skills training program designed for older people with serious mental illness (SMI), the Helping Older People Experience Success (HOPES) program, to help nursing home residents with SMI gain the skills needed to successfully live in the community.
Detailed description
This pilot study will collect information about the the potential to use an evidence-based skills training program designed for older people with serious mental illness (SMI), the Helping Older People Experience Success (HOPES) program, to help nursing home residents with SMI gain the skills needed to successfully live in the community. Although HOPES was originally designed to help older people with SMI maintain their residence in the community, the curriculum holds promise for helping nursing home residents with SMI to learn how to return to life in the community. Positive findings would be used to develop a grant application for a larger study of HOPES in nursing home residents with SMI. To evaluate the feasibility and acceptability of HOPES in nursing home settings, the investigators will enroll up to 12 residents of the Glencliff Home in Glencliff, New Hampshire. Participants will be individuals interested in discharge from Glencliff and are willing to attend multiple weekly skills training classes and several assessment sessions. Study participation will last until 6 months after discharge from Glencliff.
Interventions
BEHAVIORALHOPES Program (Helping Older People Experience Success)
Weekly group skills training classes aimed at improving skills and knowledge in areas related to successful living in the community including: independent living, healthy living, social skills, leisure skills, and management of health care.
Sponsors
Glencliff Home
Dartmouth-Hitchcock Medical Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Primary DSM-IV Axis I diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or major depressive disorder as defined in participants' chart * An expressed willingness to be discharged from Glencliff Home to the community. * Voluntary informed consent for participation in the study by the participant or by the participant's legally designated guardian
Exclusion criteria
* Terminal physical illness OR significant medical instability * Inability to speak or and understand English * Primary or co-morbid diagnosis of dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Attendence-70% attendance or higher of HOPES groups over the course of the intervention | 12 months | attendance records |
| Change in Functional Skills (University California San Diego Performance-Based Skills Assessment) | Baseline, 12 months, 6 month follow-up | University California San Diego Performance-Based Skills Assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Medication Adherence and Management (Medication Management Ability Assessment) | Baseline, 12 months, 6 month follow-up | Medication Management Ability Assessment |
| Change in Social Skills (Social Skills Performance Assessment) | Baeline, 12 months, 6 month follow-up | Social Skills Performance Assessment |
Countries
United States
Outcome results
None listed