TABLE 3.
Intervention effects on primary and community-prioritized outcomes at 6 months among participants with serious mental illnessa
Unadjusted Estimatesb | Adjusted Analysisc | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
RS | CEP | CEP vs. RS | ||||||||
Clients N |
Total N |
N | % | Total N |
N | % | N | OR | 95% CI | |
Among those with serious mental illness | ||||||||||
Primary outcomes | ||||||||||
Poor mental health quality of life (MCS-12 ≤ 40)d | 359 | 171 | 104 | 61 | 188 | 94 | 50 | 504 | .62 | .41–.95 |
At least mild depression (PHQ-9 ≥ 10)e | 358 | 171 | 142 | 83 | 187 | 133 | 71 | 504 | .59 | .29–1.18 |
Community-prioritized (secondary) outcomes | ||||||||||
Mental wellnessf | 360 | 170 | 39 | 23 | 190 | 70 | 37 | 504 | 1.98 | 1.11–3.55 |
Homelessness or ≥ 2 risk factors for homelessnessg | 360 | 171 | 87 | 51 | 189 | 54 | 29 | 504 | .48 | .29–.80 |
Any behavioral health hospitalizations, past 6 mo. | 361 | 171 | 27 | 16 | 190 | 17 | 9 | 504 | .45 | .22–.88 |
Among those with serious mental illness with poor mental health-related quality of life | ||||||||||
Primary outcomes | ||||||||||
Poor mental health quality of life (MCS-12 ≤ 40) | 215 | 106 | 71 | 67 | 109 | 59 | 54 | 308 | .61 | .35–1.04 |
At least mild depression (PHQ-9 ≥ 10) | 215 | 106 | 92 | 87 | 109 | 85 | 78 | 308 | .61 | .21–1.75 |
Community-prioritized (secondary) outcomes | ||||||||||
Mental wellness | 215 | 105 | 20 | 19 | 110 | 35 | 32 | 308 | 1.84 | .92–3.70 |
Homelessness or ≥ 2 risk factors for homelessness | 216 | 106 | 59 | 56 | 110 | 32 | 29 | 308 | .45 | .26–.78 |
Any behavioral health hospitalizations, past 6 mo. | 216 | 106 | 16 | 15 | 110 | 8 | 7 | 308 | .43 | .14–1.29 |
Among bipolar disorder or psychosis, lifetime history | ||||||||||
Primary outcomes | ||||||||||
Poor mental health quality of life (MCS-12 ≤ 40) | 290 | 134 | 84 | 63 | 156 | 73 | 47 | 419 | .54 | .33–.90 |
At least mild depression (PHQ-9 ≥ 10) | 289 | 134 | 113 | 84 | 155 | 110 | 71 | 419 | .58 | .29–1.15 |
Community-prioritized (secondary) outcomes | ||||||||||
Mental wellness | 291 | 133 | 33 | 25 | 158 | 58 | 37 | 419 | 1.85 | 1.00–3.44 |
Homelessness or ≥ 2 risk factors for homelessness | 291 | 134 | 69 | 52 | 157 | 45 | 29 | 419 | .51 | .30–.88 |
Any behavioral health hospitalizations, past 6 mo. | 292 | 134 | 24 | 18 | 158 | 14 | 9 | 419 | .42 | .22–.81 |
Serious mental illness, defined as the presence of 1 or more of the following: severe major depressive disorder (PHQ-8 score ≥ 20), lifetime history of bipolar disorder or psychosis
Raw data without weighting or imputation
Adjusted analyses used multiply imputed data, weighted for eligible sample for enrollment; logistic regression models adjusted for baseline status of the dependent variable, age, race/ethnicity, education, 12-month depressive disorder, and community and accounted for the design effect of the cluster randomization
MCS-12 = mental component summary score of the Short Form-12. MCS-12 ≤ 40 = one standard deviation below the population mean
PHQ-9 = 9-item Patient Health Questionnaire. PHQ-9 score ≥ 10 corresponds to at least mild depression severity.
At least good bit of time on any of three items: feeling peaceful or calm, being a happy person, having energy
Homeless or living in a shelter, or at least two risk factors of four (at least two nights homeless, food insecurity, eviction, financial crisis)