Depression
Conditions
Keywords
Depression, Homelessness, Primary care
Brief summary
The purpose of this study is to pilot test an adapted collaborative care model for homeless mothers with depression.
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.
Interventions
BEHAVIORALICMHM
ICMHM participants receive a collaborative care model adapted to include an engagement interview, attention to co-morbid conditions, and attention to basic needs.
Sponsors
National Institute of Mental Health (NIMH)
University of Massachusetts, Worcester
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in The Hopkins Depression Symptom Checklist -Depression Scale 20 (Williams et al, 2004) | The primary end point is 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of visits to the care manager and primary care physician | The primary end point is 6 months | Visits documented between study entry and six months recorded from EMR |
| New antidepressant medication prescriptions | The primary end point is 6 months | Documentation of new antidepressant medication prescriptions between study entry and six months recorded in EMR |
| Patient Reactions Assessment (Galassi et al, 1992) | The primary end point is 6 months | — |
| Helping Alliance Questionnaire (Luborsky et al, 1985) | The primary end point is 6 months | — |
Outcome results
None listed