mental disorder exapt substance-related oder alcohol addiction, acute psychotic symptoms or acute suicidality
Conditions
Interventions
Group 1: Intervention group: Participants will be randomly assigend to the HOP program and the treatment as usual
Group 2: Controll group: Compared to the treatment as usual alone
Sponsors
Uniklinik Ulm, Psychiatrie II, Sektion Public Mental Health
Eligibility
Sex/Gender
All
Age
13 Years to 21 Years
Inclusion criteria
Inclusion criteria: - at least one current mental disorder according to ICD-11 - current inpatient, day clinic or outpatient child/adolescent psychiatric treatment - ability to give written informal consent - written informed consent of parents or legal guardians - sufficient German language skills (required for HOP participation and self-report measures) - at least a moderate level of self-reported, disclosure-related distress (score = 3 for the screening item 'How much are you generally distressed with regard to the secrecy or disclo-sure of your mental illness to others?' Rating from 1/not at all to 7/very much)
Exclusion criteria
Exclusion criteria: - Diagnosis that is limited to substance-related or alcohol addiction without any non-substance-related current psychiatric comorbidity. (Disclosure of substance use disorders is not covered in this HOP program.) - intellectual disability - organic disorder - acute psychotic symptoms or acute suicidality
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Stigma stress, measured by the 8-item Stigma Stress Scale (Rüsch et al. 2009a; Rüsch et al. 2009b) at T1 • Health-related QoL, measured by the KIDSCREEN-10, 10 items (Deighton et al. 2014; Ravens-Sieberer et al. 2010) at T1 | — |
Secondary
| Measure | Time frame |
|---|---|
| • Empowerment scale, subscale self-esteem/self-efficacy 9 items (Rogers et al. 1997) • General Help-Seeking Questionnaire, 4 items (Wilson et al. 2005) • Disclosure-related distress, 1 item ('How much are you generally distressed with regard to the secrecy or disclosure of your mental illness to others?', from 1/not at all to 7/very much) (Rüsch et al. 2014) • Attitudes to disclosure, 2 items (Rüsch et al. 2011) • Attitudes to Disclosure Questionnaire, subscales Friends and School/Education, 14 items (Mayer et al. 2021) • Self-labeling as mentally ill, 1 item (Rüsch et al. 2014) • Self-Identified Stage of Recovery, part B, 5 items (Andresen et al. 2010) • Shame about having a mental illness, 1 item (Rüsch et al. 2014) • Stigma Coping Orientation Scales, subscale secrecy, 5 items (Link et al. 1991) • Self-Stigma of Mental Illness Scale-Short Form (SSMIS-SF), 5 items, sub-scale ’self-concurrence’ (Corrigan et al. 2012) • Center for Epidemiologic Studies-Depression Scale (CES-D), German version (ADS-K), 15 items (Hautzinger and Bailer 1993; Meyer and Hautzinger 2001) • Suicidal Attribution Scale (SIDAS), 5 items (van Spijker et al. 2014) Clinical and socio-demographic variables • Questionnaire on strengths and weaknesses (SDQ-Deu), sub-scale peer relationship prob-lems, 5 items (Goodman 2001) • Socio-demographic questionnaire (age, gender, ethnicity, nationality, school/education sta-tus, living situation, number of siblings, etc.) • Clinical characteristics (self-reported diagnosis, number of psychiatric hospitalizations, years since first psychiatric diagnosis, current treatment) Process variables • Number of sessions attended • Fidelity ratings | — |
Countries
Germany
Contacts
Public ContactJana Hörger
Uniklinik Ulm, Psychiatrie II, Sektion Public Mental Health
Outcome results
None listed