This trial is active, not recruiting.

Condition major depression
Treatment open door intervention
Sponsor Weill Medical College of Cornell University
Start date August 2007
End date January 2014
Trial size 200 participants
Trial identifier NCT00605358, R01 MH079265-01A1


The purpose of this study is to test the effectiveness of Open Door (previously known as the Treatment Initiation Program [TIP]), a brief psychosocial intervention to address the psychological barriers to care and improve the use of mental health services by depressed community elderly. The intervention is designed to help the older adult identify the barriers, problem-solve to find solutions and mobilize the motivation to seek help. Open Door was developed to work collaboratively with an older adult who is depressed to improve access and adherence to mental health treatment.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking single blind (subject)
Primary purpose supportive care
(Active Comparator)
open door intervention West group
Open Door intervention subjects will: receive an evaluation receive a referral to a local mental health provider identify barriers, set goals and problem-solve to achieve a mental health evaluation using available resources.
(No Intervention)
Subjects who do not receive the Open Door intervention will receive: an evaluation referral to a local mental health provider booklet information on depression and mental health care, and will complete an application for HEAP, a Westchester County service that provides reduced rates from oil companies on heating to seniors.

Primary Outcomes

The primary outcome is engagement defined as at least two visits with a mental health provider who can offer treatment of depression.
time frame: 12 and 24 weeks

Eligibility Criteria

Male or female participants from 60 years up to 90 years old.

Inclusion Criteria: - Age 60 years and older - Homebound - Endorse depressive symptoms Exclusion Criteria: - Presence of significant alcohol or substance abuse or psychotic disorder - High suicide risk, i.e. intent or plan to attempt suicide - Cognitive impairment - Inability to speak English - Aphasia interfering with communication. - Current use of antidepressants or psychotherapy

Additional Information

Official title Increasing Use of Mental Health Services by Community Dwelling Adults With Depression
Principal investigator Jo Anne Sirey, Ph.D.
Description The primary aim of this research study did not change from the original application; it is to conduct a randomized controlled trial of the effectiveness of a brief, psychosocial intervention on engagement in mental health care among homebound depressed older adults. Engagement is defined as accepting a referral and attending a visit with a provider who could provide traditional mental health care (medication or psychotherapy). The intervention, now called Open Door, was developed to work collaboratively with an older adult who has depressive symptoms to address the barriers to care with the aim of helping them consider a referral and engage in mental health care. In prior research, this intervention has been found to improve treatment participation, reduce depressive symptoms and increase adherence to antidepressant therapy among depressed older adults in primary care and outpatient psychiatric settings. We propose that Open Door will improve the access to mental health care by reducing psychological barriers, providing education about care, and managing the resignation associated with the symptoms of depression among community dwelling depressed elders. Additionally, we believe that despite the heterogeneity of mental health care that may be received, Open Door will be associated with reduced depressive symptoms by empowering the older adult to initiate care for him/herself.
Trial information was received from ClinicalTrials.gov and was last updated in December 2014.
Information provided to ClinicalTrials.gov by Weill Medical College of Cornell University.