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Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use (Project PEP)

Primary Purpose

Serious Mental Illness

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Community Connector
Peer Recovery Mentor
Peer Case Manager
Sponsored by
Yale University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Serious Mental Illness focused on measuring Peer Support, Cost Effectiveness, Reducing Hospital use, Serious Mental Illness

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 2 or more psychiatric hospitalizations in the past year
  • A diagnosis of serious mental illness

Exclusion Criteria:

  • Dementia or other organic condition limiting ability to provide informed consent

Sites / Locations

  • Yale Psychiatric Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

No Intervention

Experimental

Experimental

Experimental

Arm Label

Treatment as usual

Community Connector

Peer Recovery Mentor

Peer Case Manager

Arm Description

The participant randomized into this arm of the study is invited to work with a person trained as a community connector, who is trained in Intentional Peer Support but does not have a lived experience of mental illness.

A participant randomized into this arm of the study is offered the chance to work with a Peer Recovery Mentor, who is trained in Intentional Peer Support.

If a participant is randomized into this condition, they are offered the chance to work with a Case Manager, who is trained in strengths-based case management.

Outcomes

Primary Outcome Measures

Service use
Via self-report from the participant
Service Use
Via self-report from the participant

Secondary Outcome Measures

Psychiatric symptoms
Measured using the Symptom Distress scale and the Paranoia and Psychoticism subscales from the Symptom Check List-90 (SCL-90)
Quality of life
Measured using Lehman's Brief Quality of Life scale
Community inclusion
Measured using Mancini's Community Connections Inventory
Psychiatric symptoms
Measured using the Symptom Distress scale and the Paranoia and Psychoticism subscales from the Symptom Check List-90 (SCL-90)
Quality of Life
Measured using Lehman's Brief Quality of Life scale
Community Inclusion
Measured using Mancini's Community Connections Inventory

Full Information

First Posted
March 26, 2012
Last Updated
January 22, 2015
Sponsor
Yale University
Collaborators
National Institute of Mental Health (NIMH)
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1. Study Identification

Unique Protocol Identification Number
NCT01566513
Brief Title
Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use
Acronym
Project PEP
Official Title
Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use
Study Type
Interventional

2. Study Status

Record Verification Date
January 2015
Overall Recruitment Status
Completed
Study Start Date
August 2011 (undefined)
Primary Completion Date
November 2013 (Actual)
Study Completion Date
November 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yale University
Collaborators
National Institute of Mental Health (NIMH)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The current study, through a randomized controlled design, will evaluate the effectiveness of peer support, as compared to usual care and to an equivalent amount of support offered by peer case managers and non-peer recovery mentors, in reducing hospital days and readmissions and in promoting recovery and community inclusion among adults with mental illnesses with histories of multiple hospitalizations. The current study evaluates the cost-effectiveness of adding peer support to the array of services available to persons with serious mental illnesses who have histories of multiple hospitalizations and will test a theoretical model of the active ingredients of peer support, focusing specifically on the roles of 1) instillation of hope through positive self-disclosure; 2) role modeling of self-care and exploring new ways of using experiential knowledge; and 3) a trusting relationship characterized by acceptance, understanding, and empathy with conditional regard.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Serious Mental Illness
Keywords
Peer Support, Cost Effectiveness, Reducing Hospital use, Serious Mental Illness

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
285 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment as usual
Arm Type
No Intervention
Arm Title
Community Connector
Arm Type
Experimental
Arm Description
The participant randomized into this arm of the study is invited to work with a person trained as a community connector, who is trained in Intentional Peer Support but does not have a lived experience of mental illness.
Arm Title
Peer Recovery Mentor
Arm Type
Experimental
Arm Description
A participant randomized into this arm of the study is offered the chance to work with a Peer Recovery Mentor, who is trained in Intentional Peer Support.
Arm Title
Peer Case Manager
Arm Type
Experimental
Arm Description
If a participant is randomized into this condition, they are offered the chance to work with a Case Manager, who is trained in strengths-based case management.
Intervention Type
Behavioral
Intervention Name(s)
Community Connector
Intervention Description
The participant randomized into this arm of the study is invited to work with a person trained as a community connector, someone who is trained in Intentional Peer Support but does not have a lived experience of mental illness.
Intervention Type
Behavioral
Intervention Name(s)
Peer Recovery Mentor
Intervention Description
A participant randomized into this arm of the study is offered the chance to work with a Peer Recovery Mentor, who is trained in Intentional Peer Support.
Intervention Type
Behavioral
Intervention Name(s)
Peer Case Manager
Intervention Description
A participant randomized into this arm of the study is offered the chance to work with a Peer Recovery Mentor, who is trained in Intentional Peer Support.
Primary Outcome Measure Information:
Title
Service use
Description
Via self-report from the participant
Time Frame
3 months
Title
Service Use
Description
Via self-report from the participant
Time Frame
9 months
Secondary Outcome Measure Information:
Title
Psychiatric symptoms
Description
Measured using the Symptom Distress scale and the Paranoia and Psychoticism subscales from the Symptom Check List-90 (SCL-90)
Time Frame
3 months
Title
Quality of life
Description
Measured using Lehman's Brief Quality of Life scale
Time Frame
3 month
Title
Community inclusion
Description
Measured using Mancini's Community Connections Inventory
Time Frame
3 months
Title
Psychiatric symptoms
Description
Measured using the Symptom Distress scale and the Paranoia and Psychoticism subscales from the Symptom Check List-90 (SCL-90)
Time Frame
9 months
Title
Quality of Life
Description
Measured using Lehman's Brief Quality of Life scale
Time Frame
9 months
Title
Community Inclusion
Description
Measured using Mancini's Community Connections Inventory
Time Frame
9 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 2 or more psychiatric hospitalizations in the past year A diagnosis of serious mental illness Exclusion Criteria: Dementia or other organic condition limiting ability to provide informed consent
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Larry Davidson, PhD
Organizational Affiliation
Yale Program for Recovery and Community Health
Official's Role
Principal Investigator
Facility Information:
Facility Name
Yale Psychiatric Hospital
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06519
Country
United States

12. IPD Sharing Statement

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Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use

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