Development of a Patient Centered Mental Health Intervention for Recent Veterans
Completed · Not applicable
Conditions studied: Stress Disorders, Post-Traumatic, Depression, Anxiety, Substance-Related Disorders
In brief
Recent Veterans of the OIF/OEF/OND conflicts are presenting in VA care with high rates of: PTSD, depression, anxiety, and alcohol abuse, reporting significant difficulties with community reintegration, and dropping out of mental health care at high rates. Surveys of recent Veterans show that Veterans want the VA to provide mental health care tailored to their concerns and reintegration priorities. The VA is committed to providing personalized, proactive, patient centered care (PCC); but little research or intervention development has been done on PCC in mental health care settings and preliminary research indicates Veterans may lack the skills and knowledge to be active partners in PCC. This study aims to examine PCC behaviors in VA mental health care and, informed by this data, develop a brief patient centered mental health intervention that will help recent Veterans take the lead in their care personalization and support their functional recovery. Results from this study will demonstrate the acceptability, feasibility, and preliminary efficacy of this intervention.
Key facts
- Study ID
- NCT02943408
- Run by
- VA Office of Research and Development
- People needed
- 48
- Starts
- 2017-07-31
- Expected to finish
- 2022-06-01
- Last updated by the study team
- 2023-12-26
Who can join
Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Per medical record review:
- military service in Operation Iraqi Freedom, Operation Enduring Freedom, or Operation New Dawn (OIF/OEF/OND)
- Veteran accessed mental health care (MHC) service at designated study site for the first time in the last 6 months OR the first time in the last 6 months after at least a one year gap in mental health care
- have a diagnosis of PTSD (309.81), major depressive disorder (296.20-296.23, 296.30-296.33), other specified or unspecified depressive disorder (311), social anxiety disorder (300.23), panic disorder (300.01), generalized anxiety disorder (300.02), other specified or unspecified anxiety disorder (300.09, 300.00), substance use disorders (303.90, 304.00, 304.10, 304.30), Unspecified Trauma and Stressor-Related Disorder (309.9), Other Specified Trauma and Stressor-Related Disorder (309.89), or Adjustment Disorder (309.20- 309.25)
- age between 18 and 65
- sufficient clinical stability to participate as deemed by a treatment provider
- Veteran consents to having one mental health encounter recorded and coded
- Veteran's relevant provider consents to having one mental health encounter recorded and coded
You may not qualify if…
- Per medical record review:
- current diagnosis of a psychotic disorder meeting criteria established by the VA Serious Mental Illness Treatment, Research, and Evaluation Center (SMITREC):
- schizophrenic disorders (295.0-295.9)
- affective psychoses (296.0-296.1, 296.4-296.8)
- or major depression with psychotic features (296.24, 296.34)
Where it is running
- Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD — Baltimore, Maryland, United States
- Rehabilitation R&D Service, Baltimore, MD — Baltimore, Maryland, United States
- Perry Point VA Medical Center VA Maryland Health Care System, Perry Point, MD — Perry Point, Maryland, United States
Full record on ClinicalTrials.gov
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