PACT for Individuals With Serious Mental Illness

Completed · Not applicable

Conditions studied: Schizophrenia Spectrum & Other Psychotic Disorders

In brief

People with serious mental illness have difficulty making good use of primary care, and die, on average, years earlier than others in the population. The greatest contributors to this premature mortality are medical illnesses, especially cardiovascular disease and cancer. The Patient Centered Medical Home is a model for reorganizing primary care practice so that healthcare is more effective, efficient, and user-friendly. It has been implemented across VA as the, "Patient Aligned Care Team" (PACT). It is unclear, however, how this PACT model applies to people whose predominant illness is treated by specialists. This is the case for people with serious mental illness (SMI), many of whom receive ongoing treatment at mental health clinics. To achieve optimal health outcomes in the population with SMI, it may be necessary to adapt the PACT model so that it includes approaches that have proven to improve healthcare in this population. This project implements an adapted "SMI-PACT" model, and evaluates its effect on Veterans with SMI.

Key facts

Study ID

NCT01668355

Run by

VA Office of Research and Development

People needed

331

Starts

2015-09-01

Expected to finish

2019-02-06

Last updated by the study team

2020-02-28

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patient subjects:
• currently enrolled at one of the 3 participating VA healthcare centers
• Veteran
• diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, chronic severe PTSD, or recurrent major depression with psychosis
• Milestone of Recovery Scale (MORS) score is 6 or above (indicates recovery status is coping rehabilitating or better)
• Staff subjects:
• employed at one of the 3 participating VA healthcare centers
• member of PACT, member of SMI PACT, member of primary care mental health integration, provider at mental health clinic, administrator overseeing mental health, or administrator overseeing primary care

You may not qualify if…

• none

Where it is running

• VA San Diego Healthcare System, San Diego, CA — San Diego, California, United States
• VA Greater Los Angeles Healthcare System, West Los Angeles, CA — West Los Angeles, California, United States
• VA Southern Nevada Healthcare System, North Las Vegas, NV — Las Vegas, Nevada, United States

Full record on ClinicalTrials.gov

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