SUCCEED Africa: Support, Comprehensive Care and Empowerment of People With Psychosocial Disabilities (SUCCEED)
Schizophrenia, Schizoaffective Disorder, Schizotypal Disorder
About this trial
This is an interventional supportive care trial for Schizophrenia focused on measuring Sub-Saharan Africa, Psychosis, Co-Production, Peer support, Human rights, Nigeria, Malawi, Zimbabwe, Sierra Leone, Pilot trial, Schizophrenia, Community-based rehabilitation, Livelihoods
Eligibility Criteria
Inclusion criteria: Participants with lived experience of psychosis must: Be consenting/assenting adults (age 18+) Be able to speak one of the main study languages: English, Chichewa, Krio, Shona, Yoruba Live within the pilot study area Have a current or past diagnosis of schizophrenia or other primary psychotic disorder, bipolar or depressive disorder with psychotic symptoms, or a maternal mental health or behavioural disorder with psychotic symptoms, as per the World Health Organisation's International Classification of Diseases Version 11 (see full list of eligible diagnoses, below). For participants recruited from within the health care system, diagnosis will be confirmed from health records. For those identified in the community, a research worker will administer the World Health Organisation's Composite International Diagnostic Interview (WHO CIDI) screening tool for psychosis. The following diagnoses are eligible for inclusion: Schizophrenia (6A20) Schizoaffective disorder (6A21) Schizotypal disorder (6A22) Acute and transient psychotic disorder (6A23) Delusional disorder (6A24) Other specified (6A2Y) or unspecified (6A2Z) primary psychotic disorder Bipolar type I disorder with psychotic symptoms (6A60.1, 6A60.5, 6A60.7, 6A60.A) Bipolar type II disorder with psychotic symptoms (6A61.3, 6A61.5) Single episode depressive disorder with psychotic symptoms (6A70.2, 6A70.4) Recurrent depressive disorder with psychotic symptoms (6A71.2, 6A71.4) Mental or behavioural disorder associated with pregnancy, childbirth or the puerperium, with psychotic symptoms (6E21) Exclusion Criteria: People who are currently homeless, for logistical reasons; the SUCCEED intervention relies on PSWs and CSWs being able to regularly contact participants, including for home visits. People with secondary psychotic syndromes (6E61), as these are considered to be the direct consequences of physical health conditions as opposed to mental health conditions. People diagnosed with a substance-induced psychotic disorder (6C40.6-6C47.6), as recovery from substance use conditions is a specialist area outside the scope of the SUCCEED intervention under development.
Sites / Locations
- Kamuzu University of Health Sciences
- University of Ibadan
- University of MakeniRecruiting
- University of ZimbabweRecruiting
Arms of the Study
Arm 1
Experimental
SUCCEED Community-Based Intervention
The SUCCEED community-based intervention (offering a combination of peer support, case management and livelihoods activities) will be delivered to 10 participants with lived experience of psychosis at each of the 4 pilot sites.