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

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.

NCT Number	NCT07006935
Lead Sponsor	Case Western Reserve University Collaborators: Magnolia Clubhouse, The Centers
Conditions	Schizophrenia, Schizo Affective Disorder, Schizophreniform Disorders
Enrollment	30 participants
Start Date	2026-06-01
Primary Completion	2028-01-30 (estimated)
Study Completion	2028-01-30 (estimated)
Updated on ClinicalTrials.gov	2026-04-27