Yale University
The purpose for this research project is to successfully achieve the primary systems intervention outcome, maintaining fidelity to the intervention model and time to rehospitalization. In the proposed research, the plan is to build the research infrastructure to ultimately test the effectiveness of CBIT on time to rehospitalization in a sample of rural Americans with SMI and determine the effective implementation strategies to bring the program to scale to address the significant unmet needs of this population. The proposed research will improve scientific knowledge and clinical and community practice by identifying the CBIT intervention's key components associated with enhancements in overall wellness and the mechanisms through which these improvements are attained. This may also better inform the practical and logistical design of future research for CBIT.
The research design will begin with Phase I as follows: Utilizing the Community Based Participatory Research (CBPR) process will inform the development of the research alongside the Community Advisory Board (CAB) members as co-researchers. The CAB members will serve as co-investigators and will offer guidance and support for the systems intervention needed to implement CBIT. At the project start, the CAB will define CBIT intervention components, advise on MOUs with implementation sites, and refine provider training. The CAB will also assess feasibility, acceptability, safety, and tolerability…
Inclusion Criteria: * The target population is adults diagnosed with a serious mental illness living in rural areas and at risk of rehospitalization after being discharged from a psychiatric hospital. * Currently referred or receiving services from the standing CBIT program offered, age 18 years of age or older, and able to provide consent. * Eligibility criteria for the CBIT program are aged 18 or older, who have a serious mental illness (e.g., diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder), and who need an intensive level of care. * In addition, CBIT program partici…
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