Status:
COMPLETED
Partners in Wellness: Evaluation of a Pay for Performance Program for High-Utilizers of Mental Health Services
Lead Sponsor:
Stanford University
Conditions:
Psychotic Disorders
Bipolar Disorder
Eligibility:
All Genders
18-65 years
Phase:
NA
Brief Summary
Healthcare systems in the United States (U.S.) have long faced the considerable challenge of managing budgetary pressures while at the same time helping people with serious mental illness and/or addic...
Eligibility Criteria
Inclusion
- Individuals with a history of extensive utilization of 24-hour psychiatric services in Santa Clara County, CA and a likelihood of continuing to use them in the future.
Exclusion
- Age 17 or younger
- Born before 1952
- Not current resident of the County
- Currently residing in a state hospital
- Registered sex offender with legally imposed residency restrictions
- Have a DSM-V diagnosis of (or meet diagnostic criteria for):
- Dementia
- Autism Spectrum Disorder
- Catatonia
- Brief Psychotic Disorder
- Traumatic head injury resulting in severe cognitive impairment
- IQ of 69 or lower
- Eating disorders, including Pica, Anorexia Nervosa and Bulimia Nervosa, or
- Pyromania, or Psychogenic Polydipsia paired with life threatening behaviors in the past 12 months.
- Serious risk to self (i.e., suicidal intent with specific plan OR command hallucinations for self-harm that were acted on in the last 30 days and resulted in significant physical injury, or without staff intervention would have resulted in significant physical injury.
- Risk to others (e.g., sexual aggression or other violent, assaultive behavior toward clinical staff in the past 12 months).
- Serious medical diagnoses that either require intensive and regular home health care (e.g., Cystic Fibrosis, Parkinson's, Cancer), imminent risk of placement in a Skilled Nursing Facility or nursing home (e.g., non-ambulatory; needing would care), or are terminal or are life-threatening.
- Significant functional impairments (e.g., unable to toilet, incontinent and refuse to wear diaper, refuse to eat or drink, refuse to dress self or wear clothes, unable to transfer in/out of bed)
Key Trial Info
Start Date :
August 1 2016
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 1 2023
Estimated Enrollment :
652 Patients enrolled
Trial Details
Trial ID
NCT06053346
Start Date
August 1 2016
End Date
July 1 2023
Last Update
September 25 2023
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