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REACH Study (Recovery Environments: Assessing Cognitive & Brain Health in Community Mental Health)

Pilot Study of the Cognitive and Neurobiological Effects of the Clubhouse Model of Psychosocial Rehabilitation for Schizophrenia and Related Conditions

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
18 Years to 50 Years
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

  • Visits mentioned: 6 visits, 3 visits
  • Procedures mentioned: MRI scans, Questionnaires, Interviews

Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.

Show the study's own words
  • "If participants decide to join, they will be asked to complete a total of six study visits with the research team over the course of your participation."
  • "Two of the three visits will includes interviews, questionnaires, and thinking and memory tasks (cognitive testing) and one session will be an MRI brain scan, which is a safe and non-invasive imaging procedure."
Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study looks at how community mental health care affects thinking, daily life, and brain activity in adults ages 18–50 with schizophrenia or related conditions. It compares the Clubhouse Model, a structured and supportive community, with standard outpatient mental health care. Participants have six visits, including interviews, thinking and memory tasks, and MRI brain scans, at the start and six months later.

The purpose of this study is to understand how different types of community-based mental health care affect thinking abilities, daily functioning, and brain activity in adults with schizophrenia and related conditions. The investigators are especially interested in learning whether the Clubhouse Model-a structured, supportive community for individuals with mental illness-has unique benefits compared to standard outpatient mental health services. If participants decide to join, they will be asked to complete a total of six study visits with the research team over the course of your participation. Three of these study visits are at the beginning (baseline) and the remaining three are six months later. Two of the three visits will includes interviews, questionnaires, and thinking and memory tasks (cognitive testing) and one session will be an MRI brain scan, which is a safe and non-invasive imaging procedure. The total time required for each visit will be approximately 90 minutes to two hours. Participants may take breaks as needed.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Have schizophrenia, schizoaffective disorder, or schizophreniform disorder, confirmed by an assessment and medical records. These conditions can affect thoughts and a person's sense of what is real.
  • Be 18–50 years old.
  • Have had no changes to your main mental health medicine in the past month.
  • Read and speak English fluently at a sixth-grade level or higher.
  • If you are a Clubhouse member, be newly enrolled for the first time.

Who can't join

  • Have been a Clubhouse member before, at Magnolia or anywhere else.
  • Currently have a severe substance use disorder, meaning serious problems with alcohol or drug use.
  • Have ongoing behavior aimed at killing yourself or someone else.
  • Also have an intellectual disability, learning disability, or a condition affecting brain development, such as autism.
  • Needed a hospital stay for worsening mental health in the past month.
  • Have had a traumatic brain injury, meaning brain damage from an injury.
  • Have something that prevents an MRI scan, such as a pacemaker or fear of tight spaces.
  • For the standard-care group, be a current Clubhouse member or join one during the study.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: * (1) have a DSM-V diagnosis of schizophrenia, schizoaffective disorder, or schizophreniform confirmed by diagnostic assessment and medical record review * (2) between the ages of 18-50 * (3) stabilized on psychotropic medication as indicated by no changes to the primary psychiatric medication in the last month * (4) able to read and speak fluent English at a sixth grade level or higher for purposes of informed consent and cognitive testing * For Clubhouse members, they must be a first-time, newly enrolled member Exclusion Criteria: * (1) had previous membership at a Clubhouse (Magnolia or elsewhere) * (2) have a current severe substance use disorder * (3) have persistent suicidal or homicidal behavior * (4) a co-occurring diagnosis of an intellectual or learning disability or neurodevelopment condition (e.g., Autism; based on chart review) * (5) had recent psychiatric instability requiring hospitalization in the past month; * (6) history of a traumatic brain injury (TBI; based on record review) * (7) contraindicators for MRI (e.g., pacemaker, claustrophobia) * Participants in the usual care will be excluded if they are a current Clubhouse member or join a Clubhouse during participation in this research

Study sites (1)

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