Mental health Mental and Behavioural Disorders Mental health
Conditions
Interventions
follow up from community mental health services within 7 days of discharge). The intervention will comprise at least one face to face meeting with a peer worker while the participants is still an inpa
Participants will be randomised to the treatment arms in a 1:1.03 ratio (reflecting nested clustering of participants within the two trial arms). Randomisation will be stratified by site and diagnosti
Personality Disorders – ICD-10 diagnoses F60
other eligible disorders. Randomisation will be performed using a centralised internet service, created and hosted by the Pragmatic Clinical Trials Unit, Queen Mary, University of London.
Interventio
Sponsors
St George's, University of London
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Inpatients of adult acute psychiatric wards (acute admission wards and their equivalents as termed locally) with at least one previous psychiatric admission in the preceding two years 2. Aged 18+ years 3. Assessed by an appropriate member of the ward clinical team as having sufficient capacity to give informed consent to participate in the study 4. Assessed by ward clinical team as likely to be discharged within the next month 5. Given written, witnessed informed consent to participate in the study
Exclusion criteria
Exclusion criteria: 1. Diagnosis of organic mental health conditions 2. Primary diagnosis of eating disorders, learning disability, or drug or alcohol dependency 3. Assessed by ward clinical team as lacking sufficient capacity to give informed consent to participate in the study 4. Assessed by ward clinical team as unlikely to be discharged within the next month 5. Assessed by ward clinical team as presenting a current, substantial risk to peer worker 6. Already participants in either arm of the study (having been readmitted during follow-up) 7. Not having given written, witnessed informed consent to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Readmission rate to psychiatric inpatient care is assessed by review of patient notes at 12 months post-discharge. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Number of readmissions in the 12 months post-discharge are measured by review of patient notes at baseline and 12 months post-discharge 2. Time to (first) readmission is measured in days post-discharge from index admission by review of patient notes at baseline and 12 months post-discharge 3. Type of admission (compulsory or voluntarily) is measured by review of patient notes at baseline and 12 months post-discharge 4. Length of stay of any readmission (days in hospital) is measured by review of patient notes at baseline and 12 months post-discharge 5. Use of A&E for psychiatric emergency is measured as the number of separate episodes of liaison psychiatry contact in hospital A&E and self-reported visits to A&E for psychiatric emergency at baseline and 12 months post-discharge 6. Quality Adjusted Life Years are calculated using the EQ5D-5L at baseline and 4 months 7. Strength of Social Network is measured using the Social Contacts Assessment (SCA) at baseline and 4 months 8. Subjective quality of life is measured by Manchester Short Assessment of Quality of Life at baseline and 4 months 9. Social inclusion is measured using the Objective Social Outcomes Index (SIX) at baseline and 4 months 10. Hope is measured using the Herth Hope Index at baseline and 4 months 11. Social Functioning is measured using the Life Skills Profile (LSP-16) at baseline and 4 months 12. Psychiatric Symptoms are measured using the Brief Psychiatric Rating Scale at baseline and 4 months | — |
Countries
England, United Kingdom
Contacts
Public ContactJacqueline Marks
Outcome results
None listed