The Integrated Care Model for Homeless Mothers (ICMHM)

University of Massachusetts, Worcester

Status: Completed

Conditions: Depression

Treatments: Behavioral: ICMHM

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT02723058

1R34MH085881 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to pilot test an adapted collaborative care model for homeless mothers with depression.

Full description

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.

Enrollment: 67 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Mothers who are residing in emergency shelter
• 18 years of age or older
• Screen positive for depression
• Speak English or Spanish

Exclusion criteria

• Not pregnant
• Not currently receiving depression treatment
• Not currently psychotic

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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67 participants in 2 patient groups

ICMHM

Experimental group

Description:

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.

Treatment:

Behavioral: ICMHM

Treatment as Usual

No Intervention group

Description:

Treatment as Usual mothers receive usual services of a PCP and case manager from a shelter-based primary care clinic. .