N/A
Completed N=331
PACT for Individuals With Serious Mental Illness
Schizophrenia Spectrum & Other Psychotic Disorders
Source: ClinicalTrials.gov NCT01668355 ↗
Enrolled (actual)
331
Serious AEs
0.0%
Results posted
Feb 2020
Primary outcomePrimary: Provision of Appropriate Preventive and Medical Treatments — 144; 117; 146; 131 Participants
Summary
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.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Provision of Appropriate Preventive and Medical Treatments |
144; 117; 146; 131; 88; 41 | — |
| PRIMARY Patient Health-related Quality of Life: Veterans RAND 6 Item Health Survey (VR-6) Physical Health |
38.9; 37.2 | — |
| PRIMARY Patient Health-related Quality of Life: Veterans RAND 6 Item Health Survey (VR-6) Mental Health |
42.3; 37.6 | — |
| PRIMARY Patient Satisfaction With Care: Ambulatory Care Experiences Survey (ACES; Short Form) |
68; 66.7 | — |
| PRIMARY Patient Satisfaction With Care: Patient Assessment of Chronic Illness Care (ACIC/PACIC) |
2.7; 2.9 | — |
Eligibility Criteria
Inclusion Criteria
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
Exclusion Criteria
- none
Data sourced from ClinicalTrials.gov (NCT01668355). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.