Severe and/or enduring mental illness Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patient 1. Experiencing psychotic or any other severe mental illness such as major depression, personality disorders, bipolar disorder, etc., requiring mental health support OR 2. Evidence of a mental health crisis indicated by: 2.1. A rating of A-C on the UK Mental Health Triage Scale (Sands et al., 2016), which indicates either an emergency, very urgent or urgent response is needed based on a high risk of harm self or others and/or rapidly increasing symptoms of psychosis or severe mood disorder 2.2. An admission to an inpatient ward, or 2.3. Being accepted into the care of a mental health crisis service AND 3. Between 18 and 65 years of age AND 4. Sufficient abilities in the official language of the country where the pilot site is located Carers 1. Being a family member or a caregiver of one of the patients enrolled in the study
Exclusion criteria
Exclusion criteria: 1. A primary diagnosis of substance misuse 2. A diagnosis of dementia or an acquired cognitive impairment 3. A primary diagnosis of a learning disability 4. Current forensic involvement 5. Already received OD in the past 6. Participation in another research project that may impact the patient care in the HOPEnDialogue study 7. Risk of harm to the participant, study clinicians, or researchers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Global Assessment of Functioning (GAF) scale data completeness measured using proportion of required records with a valid GAF score recorded at end of study (12 months);Retention rate measured using the percentage of participants who complete the 12-month follow-up questionnaires at end of study (12 months);Attrition rate measured using the percentage of participants who did not complete the 12-month follow-up questionnaires at end of study (12 months) | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to relapse measured using the number of days after first remission at end of study (12 months);Change in Sociodemographic and Clinical Variables measured using the difference in the value of predefined patient sociodemographic and clinical variables at baseline and the 12-month assessment;Social Network Size measured using the 6-item Lubben Social Network Scale (LSNS-6) at baseline, 3, 6, and 12 months;Quality of life for patients measured using the 5-dimension 5-level EuroQol Questionnaire (EQ-5D-5L) at baseline, 3, 6, and 12 months;Personal recovery for patients measured using the Questionnaire about the Process of Recovery (QPR) at 3, 6, and 12 months;Client satisfaction for patients measured using the Client Satisfaction Questionnaire (CSQ-8) at 3 and 12 months;Mental well-being for patients and caregivers measured using the World Health Organisation-Five Well-Being Index (WHO-5) at baseline, 6, and 12 months;Evaluation of social systems for patients and caregivers measured using the Evaluation of Social Systems Scale (EVOS) at baseline, 6, and 12 months;Caregiver burden of care for caregivers measured using the Burden Assessment Scale (BAS) at baseline, 6, and 12 months | — |
Countries
France, Germany, Italy