RURAL ASSERTIVE COMMUNITY TREATMENT

农村积极的社区待遇

基本信息

批准号：
2253539
负责人：
Alberto B. SANTOS
金额：
$ 26.49万
依托单位：
MEDICAL UNIVERSITY OF SOUTH CAROLINA
依托单位国家：
美国
项目类别：
财政年份：
1995
资助国家：
美国
起止时间：
1995-01-01 至 1996-12-31
项目状态：
已结题

项目摘要

This is a new submission to the Services Research Branch for funding of a randomized trial of rural-based Assertive Community Treatment (ACT). One hundred and twenty one subjects with severe and persistent mental illnesses (SPMI) meeting study eligibility criteria have been randomly assigned to RURAL ACT or usual services and allowed for changes in symptomatology, functioning, family burden, quality of life, and costs. The clinical intervention is well implemented and the research project has proceeded without interruption, however, due to initial delays in funding and initial difficulty recruiting clinical staff for rural-based work, additional time is required to complete the original study aims. In two and one-half years we have enrolled the patient cohort and almost completed the six month follow-ups. We are seeking support to complete the follow-up assessments on subjects enrolled in this study and to analyze the client, family and cost data. Continued extramural funding will achieve the following tasks: 1) complete 6-, 12- and 18-month interviews with clients, case managers and family members on 121 enrolled clients; 2) obtain cost data (health, mental health, jail/correctional/courts, family and maintenance (SSI, SSDI) for the 6-, 12-, and 18-month follow-up periods; 3) analyze the effects of the experimental intervention on client symptoms, functioning and quality of life at 6-, 12-, and 18-month periods; 4) analyze the effects of the experimental intervention of service utilization for each follow-up period; and 5) evaluate overall costs and effectiveness of ACT relative to the comparison condition (a community mental health center with case management). Specific hypotheses will be tested in the areas of mental health status, patient functioning, quality of life, health and mental health services use and costs. This study is significant from a number of perspectives: l) this clinical trial is being conducted in a rural setting; 2) the presence of special populations including a largely African American sample and significant mental illness-substance abuse co-morbidity; 3) evaluation of a mature program for an 18-month service period; 4) a complete assessment of costs: 5) the presence of an urban cohort from a parallel randomized clinical trial of ACT a neighboring urban area. This study is offered as a Public Academic Liaison (PAL) because of its integral and essential relationships with the State of South Carolina, the local community mental health program, and the Medical University of South Carolina. It is responsive to the Research on Mental Disorders in Rural Populations program announcement, the Effectiveness and Outcomes of Mental Health Services program announcement, and to the NIMH National Plan of Research to Improve Care for Severe Mental Disorders.

这是向服务研究部门的新提交的资金基于农村的自信社区待遇（ACT）的随机试验。一一百二十一名受试者，持续持续精神疾病（SPMI）会议研究资格标准是随机的分配给《农村法案》或往常的服务，并允许更改症状，功能，家庭负担，生活质量和成本。临床干预实施得很好，研究项目已经但是，由于最初的资金延迟而没有中断地进行以及最初的困难招募临床人员从事农村工作，完成原始研究目标需要额外的时间。一两个一半的年份我们已经招募了患者队列完成了六个月的随访。我们正在寻求支持以完成对参加这项研究的受试者的后续评估并分析客户，家庭和成本数据。持续的壁外资金将完成以下任务：1）完成与客户，案例经理和家人进行6个，12个和18个月的访谈有121位注册客户的成员； 2）获取成本数据（健康，心理健康，监狱/惩教/法院，家庭和维护（SSI，SSDI） 6个，12个月和18个月的随访期； 3）分析对客户症状，功能和质量的实验干预在6个，12个月和18个月的生活； 4）分析每次随访的服务利用的实验干预时期; 5）评估ACT相对于ACT的总体成本和有效性比较条件（社区心理健康中心与案例管理）。特定的假设将在精神领域进行检验健康状况，患者功能，生活质量，健康和精神卫生服务使用和成本。从许多角度来看，这项研究很重要：l）该临床正在农村环境中进行审判； 2）特殊存在包括非裔美国人样本和重要的人口精神疾病 - 遗产滥用合并症； 3）评估成熟为期18个月的服务期； 4）对费用的完整评估： 5）从平行的随机临床中存在城市队列 ACT A ACT邻近城市地区的审判。这项研究是作为公共学术联络（PAL）的与南卡罗来纳州的整体关系和基本关系，当地社区心理健康计划和南方医科大学卡罗来纳州。它对农村精神疾病的研究敏感人口计划公告，精神的有效性和结果卫生服务计划公告，并向NIMH国家计划研究改善严重精神疾病的护理。