CRIMSON Study: Randomised controlled trial (RCT) of Joint Crisis Plans to reduce compulsory treatment of people with psychosis

Conditions

Psychosis Mental and Behavioural Disorders

Henderson C, Farrelly S, Flach C, Flach C, Borschmann R, Birchwood M, Thornicroft G, Waheed W, Szmukler G.

2017-11-246 citations

Randomised Controlled Trial of Joint Crisis Plans to Reduce Compulsory Treatment for People with Psychosis: Economic Outcomes

Barbara Barrett, Waquas Waheed, Simone Farrelly, Max Birchwood, Graham Dunn et al. (15 authors)

PLoS ONE2013-11-2559 citations

10.1371/journal.pone.0074210

Clinical outcomes of Joint Crisis Plans to reduce compulsory treatment for people with psychosis: a randomised controlled trial.

Thornicroft G, Farrelly S, Szmukler G, Birchwood M, Waheed W, Flach C, Flach C, Barrett B, Byford S, Henderson C, Sutherby K, Lester H, Rose D, Dunn G, Leese M, Marshall M.

2013-03-26114 citations

10.1016/s0140-6736(13)60105-1

CRIMSON [CRisis plan IMpact: Subjective and Objective coercion and eNgagement] protocol: a randomised controlled trial of joint crisis plans to reduce compulsory treatment of people with psychosis.

Thornicroft G, Farrelly S, Birchwood M, Marshall M, Szmukler G, Waheed W, Byford S, Dunn G, Henderson C, Lester H, Leese M, Rose D, Sutherby K.

2010-11-0521 citations

10.1186/1745-6215-11-102

Interventions

Service users under the care of community services in each of the participating inner-city sites (Birmingham, London and Manchester/Lancashire) will be identified by CPA and IT record systems and Care

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Eligible service users will have the following: 1. Contact with a local Community Mental Health Team (CMHT) (will include assertive outreach teams, early intervention teams, and community forensic teams, but not home treatment teams.) 2. Have been admitted to a psychiatric in-patient service at least once in the previous two years 3. Have a diagnosis of psychotic illness, including bipolar affective disorder (using Operational Criteria Checklist OPCRIT 47) 4. Be on the local NHS Trust Enhanced Care Programme Approach (CPA) Register We shall include service users who do not speak English. For non-English speakers, both written translation and interpreters are needed. and we shall employ interpreters in French, Portuguese and some West African languages as required, and will be examined at the pilot stage.

Exclusion criteria

Exclusion criteria: 1. Those unable to give informed consent 2. Current in-patients will not be recruited to avoid any perceived potential coercion to participate, nor any patient subject to a compulsory community treatment order Note: No other exclusions will be made, to maximise the external validity of the trial.

Design outcomes

Primary

Measure	Time frame
Proportion of service users admitted or otherwise subsequently detained under an order of the Mental Health Act during the follow-up period (18 months)	—

Secondary

Measure	Time frame
1. Cost 2. Perceived coercion, assessed at baseline and at follow-up (18 months post baseline) using the Treatment Experience Survey (questionnaire) delivered at interview 3. Engagement with mental health services, assessed at baseline and follow-up (18 months post baseline) using the Engagement and Acceptance Scale (questionnaire) delivered at interview 4. Therapeutic relationship for service users and staff, assessed at baseline and follow-up (18 months post baseline) using the Working Alliance Inventory (questionnaire) delivered at interview	—

Measure

Time frame

1. Cost 2. Perceived coercion, assessed at baseline and at follow-up (18 months post baseline) using the Treatment Experience Survey (questionnaire) delivered at interview 3. Engagement with mental health services, assessed at baseline and follow-up (18 months post baseline) using the Engagement and Acceptance Scale (questionnaire) delivered at interview 4. Therapeutic relationship for service users and staff, assessed at baseline and follow-up (18 months post baseline) using the Working Alliance Inventory (questionnaire) delivered at interview

—

Countries

United Kingdom

Outcome results

None listed