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| ID | Type | Description | Link |
|---|---|---|---|
| 1R34MH085881 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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The purpose of this study is to pilot test an adapted collaborative care model for homeless mothers with depression.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ICMHM | Experimental | 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. |
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| Treatment as Usual | No Intervention | Treatment as Usual mothers receive usual services of a PCP and case manager from a shelter-based primary care clinic. . |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ICMHM | Behavioral | ICMHM participants receive a collaborative care model adapted to include an engagement interview, attention to co-morbid conditions, and attention to basic needs. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in The Hopkins Depression Symptom Checklist -Depression Scale 20 (Williams et al, 2004) | The primary end point is 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of visits to the care manager and primary care physician | Visits documented between study entry and six months recorded from EMR | The primary end point is 6 months |
| New antidepressant medication prescriptions |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27486545 | Derived | Weinreb L, Upshur CC, Fletcher-Blake D, Reed G, Frisard C. Managing Depression Among Homeless Mothers: Pilot Testing an Adapted Collaborative Care Intervention. Prim Care Companion CNS Disord. 2016 Apr 21;18(2):10.4088/PCC.15m01907. doi: 10.4088/PCC.15m01907. eCollection 2016. |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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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) | The primary end point is 6 months |
| Helping Alliance Questionnaire (Luborsky et al, 1985) | The primary end point is 6 months |