Lay Description

The study team will use components of the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework to compare Cognitive Adaptation Training (CAT) to Remotely delivered Cognitive Adaptation Training (R-CAT) 1-9 within a managed care organization (MCO), targeting members with serious mental illness (SMI) needing assistance with the regular taking of medication.


  • Behaviors and Mental Disorders
  • Nervous System
IRB Number
NCT Number
Open to Enrollment


Eligible Ages
Between 18 Years and 65 Years
Eligible Genders
Accepts Healthy Volunteers

Inclusion Criteria

  1. Able to give informed consent.
  2. Between the ages of 18 and 65.
  3. Clinical Diagnosis of Major Depressive Disorder, Bipolar disorder, Schizophrenia, or Schizoaffective Disorder
  4. Receiving treatment with oral psychiatric medications.
  5. Have had a hospitalization or emergency department visit in the past year
  6. Have a Medication Possession Ratio (MPR) based upon electronic refill data below 80% at least 1 of the past 4 quarters with at least 1 psychiatric medication
  7. Responsible for taking their own medications
  8. Report on telephone prescreen call with researcher team that they have missed at least 2 doses of medication in the past 3 weeks, that they are willing to take medication and would like remote assistance to take medication more regularly
  9. Report on telephone prescreen call with research team that they have a stable living environment (individual apartment, family home, board and care facility) within the last three months and no plans to move in the next year
  10. Report on prescreen research call with research team that they have no plans to change their MCO in the next 12 months
  11. Have a working smart phone
  12. Able to understand and complete rating scales and assessments.
  13. Agree to home visits for intervention and to count pills and conduct assessments

Exclusion Criteria

  1. Substance dependence within the past 2 months
  2. Currently being treated by an ACT team
  3. Documented history of violence or threatening behavior on initial assessment
  4. Receive home visits to assist with medication adherence
  5. Unable to complete baseline assessments

Study Design

Arm Groups

Study Contact

Feiyu Li

Dawn Velligan
(210) 567-5508

Feiyu Li

Principal Investigator
Dawn Velligan