Mental health Mental and Behavioural Disorders
Conditions
Interventions
Design:
In this feasibility study, the researchers will use a non-randomised controlled study design to test the s.17 standard for signals of efficacy. This will enable them to explore the indicative
how it is experienced by practitioners, managers, RCs and carers
and what its indicative costs might be.
Setting:
The study will be conducted across a number of sites to ensure a diversity of experiences in urban and rural settings in different locations in Englan
this will be determined through consultation between practitioners and the research team.
Sample:
The end-point is full data on 30 carers who have experience of leave under s.17 with the person they
Sponsors
University of York
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Carers: Unpaid carers (partners, friends or family members) aged 18 years or older who provide regular, ongoing assistance to a person aged 18 years or older who is currently detained under s.2 or s.3 of the Mental Health Act (1983). Practitioners: Practitioners, managers, and Responsible Clinicians who have been involved in the implementation of the s.17 standard in the intervention wards in the study sites and/or who have attempted to use the s.17 standard in practice. This will include staff from different inpatient wards supporting different patient groups and could include carers' leads and potentially care coordinators and crisis team staff in community teams, who have experience of working with service users and/or carers around s.17 leave.
Exclusion criteria
Exclusion criteria: Exclusion criteria for this study are the inverse of the inclusion criteria. In addition: Carers: Carers will be excluded where it is deeemed by others (e.g. practitioners in mental health services or the local authority) that they pose a risk to others such that meetings with a mental health professional, social worker, support worker or researcher are not recommended; is currently an inpatient themselves or is currently not able to provide care; the person they provide care to has previously had s.17 leave during the current admission; or (for the second and third round of interviews) no period of s.17 leave is granted during the admission. Practitioners: Recruitment will not be open to practitioners, managers and Responsible Clinicians in the control wards across the study sites.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Carers’ experiences of section 17 leave measured using a custom measure designed within this study (s.17 measure) at baseline, 2 weeks after the end of the first period of s.17 leave and 6 months after baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Carers’ experiences of care measured using the Zarit Burden Interview (ZBI) at baseline, 2 weeks after the end of the first period of s.17 leave and 6 months after baseline. 2. Carers’ mental wellbeing measured using the Short Warwick Edinburgh Mental Well-Being Scale (SWEMWBS) at baseline, 2 weeks after the end of the first period of s.17 leave and 6 months after baseline 3. Carers’ use of services measured using an adapted version of the Client Service Receipt Inventory at baseline and 6 months after baseline | — |
Countries
England, United Kingdom
Outcome results
None listed