Mental illness diagnosed as per ICD-11 Mental and Behavioural Disorders
Conditions
Interventions
The intervention consists of integrating trained peer support workers into MCMHTs in Ukraine. Each intervention team will include both civilian peer support workers with lived experience of mental ill
Sponsors
Queen Mary University of London
Taras Shevchenko National University of Kyiv
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria for patients: 1. Aged 18 years or older 2. Currently engaged with or referred to a MCMHT 3. Diagnosed with a mental illness as per ICD-11 4. Has the capacity to provide informed consent 5. Predicted to stay in service for at least 3 months Inclusion criteria for civilian peer support workers: 1. Aged 18 years or older with lived experience of treatment in psychiatric services 2. Has the capacity to provide informed consent 3. Motivated to help fellow patients in MCMHT 4. Currently living in the community and demonstrating stable mental health and psychosocial functioning sufficient to undertake the responsibilities of a full-time peer support worker Inclusion criteria for military peer support workers: 1. Aged 18 years or older with lived experience of serving in the military 2. Has the capacity to provide informed consent 3. Motivated to help fellow patients in MCMHT 4. Currently living in the community and demonstrating stable mental health and psychosocial functioning sufficient to undertake the responsibilities of a peer support worker Inclusion criteria for caregivers: 1. Aged 18 years or older 2. Nominated by the participating service user as their primary caregiver or source of support 3. Has the capacity to provide informed consent
Exclusion criteria
Exclusion criteria: Exclusion criteria for patients: 1. Current participation in another interventional clinical research study that may affect study outcomes 2. Presenting a significant risk of harm to themselves or others Exclusion criteria for civilian peer support workers: 1. An active substance use disorder that may interfere with the performance of duties 2. Refusal to undergo the required training or supervision 3. Plans to discontinue participation in the program within the next six months Exclusion criteria for military peer support workers: 1. An active substance use disorder that may interfere with the performance of duties 2. Refusal to undergo the required training or supervision 3. Plans to discontinue participation in the program within the next six months Exclusion criteria for caregivers: 1. Unable or unwilling to participate in study assessments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of life measured using the Manchester Short Assessment of Quality of Life (MANSA) at baseline, 3 months and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Health related quality of Life measured using the EuroQol 5-level EQ-5D version (EQ-5D-5L) at baseline, 3 months and 6 months;Overall mental illness severity measured using the Clinical Global Impression Severity and Global Improvement (CGI-S) tool at baseline, 3 months and 6 months;Frequency and severity of common anxiety symptoms measured using the Generalised Anxiety Disorder-7 (GAD-7) tool at baseline, 3 months and 6 months;Severity of depressive symptoms measured using the Patient Health Questionnaire-9 (PHQ-9) at baseline, 3 months and 6 months;Severity of post-traumatic stress disorder (PTSD) symptoms measured using the PTSD Checklist for DSM-5 (PCL-5) at baseline, 3 months and 6 months;Disability and functional impairment measured using the WHO Disability Assessment Schedule (WHODAS 2.0) at baseline, 3 months and 6 months;Level of hopefulness measured using the Hope Scale at baseline, 3 months and 6 months;Self-stigma around mental illness measured using the Internalized Stigma of Mental Illness (ISMI-10) at baseline, 3 months and 6 months;Harmful alcohol use and alcohol dependence measured using the Cut down drinking, Annoyed by criticism, Guilty feelings and Eye-opener (CAGE) questionnaire at baseline, 3 months and 6 months;Caregiver burden measured using the Zarit Caregiver Burden Scale at baseline, 3 months and 6 months;Treatment satisfaction measured using the Treatment Satisfaction Scale (TSS) at baseline, 3 months and 6 months;Use of health, social care, and other support services and associated costs measured using the Client Service Receipt Inventory (CSRI) at baseline, 3 months and 6 months;Recruitment (proportion of eligible individuals who do not opt out from participation) measured using data collected from the enrollment log at baseline;Retention (proportion of participants retained at 3-month and 6-month follow-up) measured using data collected from the intervention log at 3 months and 6 months;Engagement in mental health services (percentage | — |
Countries
Ukraine
Contacts
Public ContactKomal Dayani
Outcome results
None listed