Mental health Mental and Behavioural Disorders
Conditions
Interventions
One way to try and reduce use of the Mental Health Act is to offer people a bespoke form of support after they are discharged to prevent them from being readmitted again. Therefore, the aim of this st
Sponsors
University College London
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Service user participants: Eligible participants will: 1. Have been compulsorily detained under section of the Mental Health Act (section 2 or 3) during their current hospital admission 2. Be due to receive community mental health care locally post-discharge 3. Be aged 18+ years 4. Have the capacity to consent at the time of recruitment Clinician participants (for intervention development and evaluation): Eligible participants will be 1. Currently working in an NHS mental health service as a nurse, psychiatrist, psychologist, social worker, occupational therapist, support worker or assistant psychologist 2. Currently working with service users who are currently or recently (in the last year) detained under section of the Mental Health Act (section 2 or 3) Personal mental health worker (for intervention evaluation): 1. Eligible participants will have delivered the adapted intervention to participants in the trial
Exclusion criteria
Exclusion criteria: Service user participants: Participants will be excluded if they: 1. Are already receiving an intensive psychosocial intervention that focuses on crisis reduction (for example, assertive outreach services) 2. Have a diagnosis of dementia or a brain injury 3. Do not speak sufficient English to take part without an interpreter 4. Lack capacity to consent Staff participants and personal mental health workers: Does not meet the inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compulsory readmission to psychiatric in-patient services measured by checking the medical records of participants at 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured at baseline, 6 months post-randomisation, and 12 months post-randomisation unless stated otherwise: 1. Satisfaction with services assessed using the Client Satisfaction Questionnaire 2. Personal recovery assessed using the Process of Recovery Questionnaire 3. Self-management confidence assessed using the Mental Health Confidence Scale 4. Symptoms of mental illness assessed using the Brief Psychiatric Rating Scale 5. Quality of life assessed using Recovering Quality of Life (REQOL-10) 6. Economic costs assessed using an adapted version of the “generic UK mental health” version of the Client Service Receipt Inventory 7. Service engagement measured through routinely collected data from patient records about all service use during data-collection periods at 12 and 24 months post randomisation 8. Compulsory readmission to hospital measured by checking the medical records of participants at 24 months 9. Demographic and clinical/service user characteristics, including Community Treatment Order status, previous admission history and clinical diagnosis | — |
Countries
England, United Kingdom
Outcome results
None listed