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Family Intervention for Mental Illness and Substance Abuse

Dartmouth Health logo

Dartmouth Health

Status

Completed

Conditions

Substance-related Disorders
Schizophrenia
Bipolar Disorder

Treatments

Behavioral: Family psychoeducation program
Behavioral: Family Intervention for Dual Diagnosis

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT00043693
DSIR SE-CE
R01MH062629 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study will evaluate a family intervention program for individuals with bipolar disorder, schizophrenia, or schizoaffective disorder and co-occurring substance use disorders.

Full description

Substance use disorder (SUD) in persons with severe mental illness may worsen the course of psychiatric illness. The loss of family support for individuals with mental illness is a major contributing factor to housing instability, homelessness, and other problems. Despite progress toward integrating mental health and substance abuse services, interventions that improve the course of mental illness while helping the families of the mentally ill are not currently available. Enhancing skills for coping with mental illness may be an effective strategy for treating SUD, decreasing caregiver burden, and improving the long-term outcomes for people with mental illness.

Patients and their families are randomly assigned to either the Family Intervention for Dual Diagnosis (FIDD) program or family psychoeducation. The FIDD program lasts for up to 3 years and includes both single and multiple-family group formats. The family psychoeducation program consists of 6 weekly sessions. Routine assessments are conducted on all patients, and relatives are evaluated on a wide range of outcomes, including substance abuse, hospitalizations, psychiatric symptoms, legal problems, aggression, housing and homelessness, family burden, social support, and quality of life. To determine the effectiveness of the FIDD program, knowledge of mental illness and problem-solving skills are assessed in the families following treatment.

Enrollment

108 patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

  • Have schizophrenia, schizoaffective disorder, or bipolar disorder
  • Have a current substance use disorder (within the past 6 months)
  • Are willing to have at least 4 hours of contact per week with family members or significant others
  • Plan to remain in the community
  • Have family members or significant others who consent to participate in the study and plan to remain in the community

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

108 participants in 2 patient groups

1
Experimental group
Description:
Participants will undergo the Family Intervention for Dual Diagnosis (FIDD) program.
Treatment:
Behavioral: Family Intervention for Dual Diagnosis
2
Active Comparator group
Description:
Participants will be placed in a family psychoeducation program.
Treatment:
Behavioral: Family psychoeducation program

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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