Bipolar Disorder, Psychotic Depression, Schizoaffective Disorder, Schizophrenia
Conditions
Keywords
Peer support, Psychiatric disability, Mutual support, Psychiatric Rehabilitation
Brief summary
The purpose of this study is to determine whether Recovery Guide support services are effective in promoting recovery and social integration among psychiatrically disabled individuals who experience high rates of inpatient hospitalizations.
Detailed description
The paradigm shift in mental health treatment from a deficit-and institution- based framework to a recovery and community integration frame necessitates new models of case management practices. The Recovery Guide model is just such a model. Beyond theoretical frameworks, the effectiveness of Recovery Guides has not been well studied. It is the intent of this study to conduct a randomized trial examining the effects of Recovery Guides on community tenure and integration. Furthermore, it is the intent of this study to to establish fidelity criteria. Comparison(s): Recovery Guide services in addition to treatment as usual, compared to treatment as usual.
Interventions
BEHAVIORALRecovery Mentor
Provided Recovery Mentor services
Sponsors
Connecticut State, Department of Mental Health and Addiction Services
Eli Lilly and Company
Yale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* 18 years of age or older * Currently admitted in the Yale-New Haven Psychiatric Hospital (YNHPH) * A history of two or more prior admissions within the past 18 months * Proficient in the use of the English language * A DSM-IV diagnosis of Schizophrenia, Schizoaffective Disorder, Psychotic Disorder NOS, or Major Depressive Disorder with Psychotic Features
Exclusion criteria
* Inability to give signed, written consent * Primary DSM-IV diagnosis of substance abuse/dependence
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of hospitalizations | 9 months |
Secondary
| Measure | Time frame |
|---|---|
| Motivation for change | Baseline, 3 and 9 months |
| Social functioning | Baseline, 3 abd 9 months |
| Hope | Baseline, 3 and 9 months |
| Sense of community | Baseline, 3 and 9 months |
| Functional status | Baseline, 3 and 9 months |
| Treatment relationship | Baseline, 3 and 9 months |
| Self-determination | Baseline, 3 and 9 months |
Countries
United States
Outcome results
None listed