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Improving Primary Care in Patients With Mental Disorders
This study is ongoing, but not recruiting participants.
Study NCT00183313   Information provided by National Institute of Mental Health (NIMH)
First Received: September 12, 2005   Last Updated: February 13, 2008   History of Changes
This Tabular View shows the required WHO registration data elements as marked by

September 12, 2005
February 13, 2008
July 2004
Quality of primary medical care [ Time Frame: Measured over 2 years ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00183313 on ClinicalTrials.gov Archive Site
  • Health status [ Time Frame: Measured over 2 years ] [ Designated as safety issue: No ]
  • Psychiatric symptoms [ Time Frame: 2004-2009 ] [ Designated as safety issue: No ]
  • Costs [ Time Frame: 2004-2009 ] [ Designated as safety issue: No ]
  • Psychiatric symptoms
  • substance use
  • cost effectiveness of nurse case management program
 
Improving Primary Care in Patients With Mental Disorders
Improving Primary Care in Patients With Mental Disorders

This study will determine the effectiveness of medical case management in improving the medical care of people with mental disorders or substance abuse problems.

Poor quality of care may contribute to impaired health status and increased mortality in individuals with serious mental disorders and substance abuse problems; interventions designed to improve medical care for this population need to be developed. This study will develop a population-based medical case management model for improving the primary medical care of patients at an inner city community mental health center.

This study will last 2 years. Participants will be randomly assigned to receive medical case management or standard of care (typically drug and behavioral therapy) for 2 years. Participants in the case management group will receive help in overcoming barriers to receiving primary care.

Participants will also undergo 5 interviews over the 2-year study duration, and have annual chart reviews. Results of the interviews will be used to assess quality of primary care, service use, health outcomes, psychiatric symptoms, and substance use.

Phase III
Interventional
Health Services Research, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Mental Disorders
  • Behavioral: Nurse case management
  • Behavioral: Usual care
  • Experimental: Participants will receive nurse case management intervention
  • Active Comparator: Participants will receive usual care
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Active, not recruiting
407
July 2009
July 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Diagnosis of mental illness or substance abuse
  • Patient at Florida Hall (Grady Health Systems)

Exclusion Criteria:

  • Current use of medical case management
Both
18 Years and older
No
 
United States
 
 
NCT00183313
Benjamin G. Druss, MD MPH, Emory University
DSIR 82-SEPC
National Institute of Mental Health (NIMH)
 
Principal Investigator: Benjamin G. Druss, MD, MPH Emory University
Study Director: Silke A. von Esenwein, MA Emory University
National Institute of Mental Health (NIMH)
February 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.