F20 F30 F40 F60
Conditions
Interventions
Group 1: Intervention group
Ahead of the implementation of peer support, 23 patients of a locked ward where peer support is going to be established will consecutively be included in the study from the
Sponsors
Vivantes Klinikum Am Urban, Klinik für Psychiatrie und Psychotherapie
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients: 1. Patient has one of the following diagnosis´ as a main diagnosis: Schizophrenia, schizotypal and delusional disorders (F2X); Affective disorders (F3X); Neurotic, stress-related and somatoform disorders (F4X); Disorders of adult personality and behavior (F6X) 2. Patient has been at the ward for 7 days or longer 3. Patient is stable and has sufficient verbal and intellectual capacities (German language skills, no mental retardation, no dementia) in order to participate in the trial. 4. Patient is capable of giving consent. Staff: All staff providing care in the relevant acute ward.
Exclusion criteria
Exclusion criteria: Patient refuses to participate in the trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recovery: It is assumed that patients who are treated in the acute ward twelve months after the implementation of peer support (intervention group post t0) show higher recovery than patients who were treated there prior to the implementation process (intervention group pre t0). Furthermore it is assumed that this parameter does not change in an acute ward without peer support (control group pre t0 – post t0). | — |
Secondary
| Measure | Time frame |
|---|---|
| Self-efficacy: It is assumed that patients who are treated in the acute ward twelve months after the implementation of peer support (intervention groups post t0) show higher self-efficacy than patients who were treated there prior to the implementation process (intervention groups pre t0). Furthermore it is assumed that this parameter will not change in a an acute ward without peer support (control group pre t0 – post t0). Recovery orientation of the ward: It is assumed that patients and staff evaluate the recovery orientation of the acute ward higher twelve months after the implementation of peer support (intervention groups post t0) than patients and staff did prior to the implementation process (intervention groups pre t0). Furthermore it is assumed that this parameter will not change in an acute ward without peer support (control groups pre t0 – post t0). Use and evaluation of care offers: It is assumed that six months after their dismissal from hospital patients who were treated in the acute ward twelve months after the implementation of peer support (intervention groups post t1) show a more needs based use and better evaluation of outpatient, inpatient, and day-care offers than patients who were treated there prior to the implementation process (intervention groups pre t1). Furthermore it is assumed that this parameter will not change in an acute ward without peer support (control group pre t1 – post t1). Coercive measures: It is assumed that twelve months after the implementation of peer support (intervention groups post t0) frequency and duration of coercive measures (mechanical restraint, forced medication, and limitation of freedom of movement) declined compared to the time prior to the implementation process (intervention groups pre t0). Furthermore it is assumed that this parameter will not change in an acute ward without peer support (control group pre t0 – post t0). Ward climate and job satisfaction: It is assumed that staff evaluate their job sati | — |
Countries
Germany
Contacts
Public ContactJohanna Baumgardt
Vivantes Klinikum am Urban; Klinik für Psychiatrie, Psychotherapie und Psychosomatik
Outcome results
None listed