Ignite Creation Date:
2024-10-26 @ 3:37 PM
Last Modification Date:
2024-10-26 @ 3:37 PM
Study NCT ID:
NCT06552325
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-10
Brief Title:
Walk-in Therapy in Low Barrier Primary Care
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Integrating Brief Narrative Therapy in Low Barrier Clinics to Enhance HIV Prevention
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goals of the current research are to adapt an effective walk-in psychotherapy clinic intervention for the context of low-barrier primary care and conduct a pilot implementation study in two low-barrier primary care clinics that are based in a community organization that is a drop-in center for people experiencing homelessness in North Seattle
Detailed Description:
Interactions between the multiple health threats of mental illness substance use and social vulnerabilities homelessness poverty represent a syndemic that perpetuates the HIV epidemic Mental health and substance use disorders have been shown to increase HIV risk behaviors and to have a negative impact on adherence to PrEP Unhoused individuals face both individual-level stigma limited social support and psychiatric symptoms and structural-level poverty unstable housing limited transportation cost of medical care barriers to healthcare Walk-in clinics are designed to address these barriers to traditional primary care and provide immediate access to services when they are needed King County WA has funded four low-barrier primary care clinics since 2018 as a key component of the King County EHE Plan Data from these clinics suggest that untreated mental disorders are a critical barrier to engagement in low-barrier primary care Integrated care models in which trained mental health specialists deliver evidence-based mental health care in primary care settings increase access to care by providing mental health treatment where people are already seeking care Integrated care improves mental health outcomes and models are feasible to implement even in very low resource settings Walk-in counseling clinics throughout the province of Ontario Canada have implemented a single session narrative therapy intervention to increase access to mental health care In this model therapists use a single-session approach to help clients identify issues recognize and build on their strengths and develop an action plan Narrative approaches create a non-pathologizing collaborative and competency-oriented way of addressing mental health needs Given the unpredictability of follow-up in walk-in primary care a single session narrative approach can make the most of every single session providing pragmatic therapeutic conversations to people when they need it and support coping reduce feelings of isolation and increase sense of validation The goals of the current study are 1 to develop a single-session narrative therapy intervention to increase access to mental health care among people experiencing homelessness and 2 conduct a 4-month pilot implementation trial of the adapted intervention in two low-barrier primary care clinics in North Seattle
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None