Severe mental illness, including psychotic and affective conditions (e.g. bipolar disorder or severe depression) associated with disability Mental and Behavioural Disorders
Conditions
Interventions
Contextualised complex intervention that focuses on (1) identification, initial engagement and assessment, (2) response to emergency needs, and (3) person-centred care planning, ongoing engagement and
Sponsors
University of Edinburgh
Eligibility
Sex/Gender
All
Age
16 Years to 99 Years
Inclusion criteria
Inclusion criteria: Key inclusion criteria for qualitative interviews Person experiencing homelessness and severe mental illness (SMI) 1. Person who is homeless and present in the study locations at the time of pilot study. The definition of homelessness was operationalised in the HOPE formative work and includes people who spend the night unsheltered or in other places not intended for habitation (e.g. under bridges or unfinished buildings or in a forest). The study will include people who pay for a bed for the night on an ad hoc basis when they can afford it. 2. Identified as having probable SMI based on the assessments of community workers who have been trained by HOPE 3. Aged 16 years or above based on self-report or estimation. There is no upper age limit. 4. Willing and able to provide informed consent Provider 1. Care provider who attends training in HOPE interventions 2. Aged 18 years or above 3. Willing and able to provide written informed consent Implementation working group 1. Professionals, experts by lived experience and peer support workers involved in implementation working group 2. Aged 18 years or above 3. Willing and able to provide written informed consent
Exclusion criteria
Exclusion criteria: Person experiencing homelessness and SMI 1. People who do not meet the definition of homelessness because they spend their days on the streets, for example, to beg, but who have stable night-time accommodation 2. People who have substance use problems without any evidence of SMI 3. Children or adolescents younger than 16 years of age who have probable SMI. This group is excluded because of the different needs, interventions and service configurations for this age group. 4. Unwilling or unable to provide informed consent Provider 1. Unwilling or unable to provide written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility measured using qualitative semi-structured interviews at one time point over the 6-8 week implementation of the pilot intervention;People experiencing HSMI are identified in the community, triaged (initial brief assessment) and linked to services for further assessment 1: Number of people experiencing HSMI identified in the community during the study, measured using study data on the project log of number (no ID) of people identified requiring initial assessment and the number of initial assessments completed with mental health problems identified, collected at one time point at the end of the study;People experiencing HSMI are identified in the community, triaged (initial brief assessment) and linked to services for further assessment 2: % of identified people experiencing HSMI receiving initial assessment from community worker during the study, measured using study data on the number with initial assessment completion (numerator) and the project log of number (no ID) of people identified requiring initial assessment (denominator), collected at one time point at the end of the study;People experiencing HSMI are identified in the community, triaged (initial brief assessment) and linked to services for further assessment 3: % of people experiencing HSMI identified who are linked to services for further assessment during the study, measured using study data on the number of referrals for further assessment from community worker referral records (numerator) and project log documenting number of people experiencing HSMI identified in the community (denominator), collected at one time point at the end of the study;Person-centred needs assessment and care planning 1: % of people experiencing HSMI identified in the community who have structured needs assessment and care planning, measured using study data on the project log documenting number of structured documentation of needs assessment/ care planning (numerator) and Project log documenting number of people | — |
Secondary
| Measure | Time frame |
|---|---|
| Person-centred needs assessment and care planning: | — |
Countries
Ethiopia, Ghana, Kenya
Contacts
Public ContactCharlotte;Ai Keow Hanlon;Lim
;
Outcome results
None listed