N/A
Completed N=216
Efficacy of Mental Health Self-Directed Care Financing
Mental Illness Persistent
Source: ClinicalTrials.gov NCT03582813 ↗
Enrolled (actual)
216
Serious AEs
0.5%
Results posted
Mar 2020
Primary outcomePrimary: Recovery From Mental Illness — 148.0; 152.81; 151.88; 154.56 score on a scale — p=<.01
Summary
Self-directed care (SDC) programs give people with disabilities control over public funds to purchase traditional behavioral health and non-traditional services in order to remain outside of institutional settings. The purpose of this study is to determine the effects of this model on participant outcomes, service costs, and user satisfaction among people with serious mental illness.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Recovery From Mental Illness |
148.0; 152.81; 151.88; 154.56; 152.17; 153.62 | <.01 sig |
| SECONDARY Change in Self-esteem |
23.97; 24.57; 25.74; 25.74; 25.42; 25.19 | .031 sig |
| SECONDARY Coping Mastery |
2.60; 2.66; 2.67; 2.69; 2.79; 2.60 | <0.01 sig |
| SECONDARY Perceived Autonomy Support |
4.74; 4.65; 5.56; 4.85; 5.44; 4.83 | 0.030 sig |
| SECONDARY Number of Participants With Employment |
16; 13; 18; 6; 19; 6 | 0.046 sig |
| SECONDARY Number of Participants Enrolled in Classes |
7; 10; 5; 5; 11; 1 | <0.01 sig |
| SECONDARY Change in Mental Health Service Cost |
36; 26; 14; 14; 229; 23 | — |
Eligibility Criteria
Inclusion Criteria
- receiving mental health services at a Texas Department of State Health Services-funded mental health program
- diagnosis of serious mental illness consistent with federal Public Law 102-32
- assigned to a level of care eligible for a package of comprehensive clinical and rehabilitation services known as Service Package 3
- 18 years or older
- able to understand spoken English.
Exclusion Criteria
- cognitive impairment
- homeless at time of recruitment
- history of violent behavior resulting in arrest and conviction in the past 10 years
- active substance use in the absence of substance use treatment
- enrollment in Medicare or dual beneficiary
- finances controlled by a third party (e.g., representative payee)
Data sourced from ClinicalTrials.gov (NCT03582813). 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.