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Recovery Guide Intervention for Recurrent Psychiatric Hospitalization

Primary Purpose

Schizophrenia, Schizoaffective Disorder, Bipolar Disorder

Status

Completed

Phase

Not Applicable

Locations

United States

Study Type

Interventional

Intervention

Recovery Mentor

About this trial

This is an interventional supportive care trial for Schizophrenia focused on measuring Peer support, Psychiatric disability, Mutual support, Psychiatric Rehabilitation

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

Yale-New Haven Psychiatric Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Arm Description

Recovery Mentor: peer-based supportive care

No Recovery Mentor, services as usual

Outcomes

Primary Outcome Measures

Number of hospitalizations

Secondary Outcome Measures

Sense of community

Motivation for change

Social functioning

Hope

Self-determination

Functional status

Treatment relationship

Full Information

NCT ID

NCT00400166

First Posted

November 15, 2006

Last Updated

June 10, 2009

Sponsor

Yale University

Collaborators

Connecticut State, Department of Mental Health and Addiction Services, Eli Lilly and Company

1. Study Identification

Unique Protocol Identification Number

NCT00400166

Brief Title

Recovery Guide Intervention for Recurrent Psychiatric Hospitalization

Official Title

Recovery Guide Intervention for Recurrent Psychiatric Hospitalization

Study Type

Interventional

2. Study Status

Record Verification Date

June 2009

Overall Recruitment Status

Completed

Study Start Date

December 2006 (undefined)

Primary Completion Date

May 2009 (Actual)

Study Completion Date

May 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor

Yale University

Collaborators

Connecticut State, Department of Mental Health and Addiction Services, Eli Lilly and Company

4. Oversight

Data Monitoring Committee

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, Psychotic Depression

Keywords

Peer support, Psychiatric disability, Mutual support, Psychiatric Rehabilitation

7. Study Design

Primary Purpose

Supportive Care

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

None (Open Label)

Allocation

Randomized

Enrollment

71 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Arm Type

Experimental

Arm Description

Recovery Mentor: peer-based supportive care

Arm Title

Arm Type

No Intervention

Arm Description

No Recovery Mentor, services as usual

Intervention Type

Behavioral

Intervention Name(s)

Recovery Mentor

Intervention Description

Provided Recovery Mentor services

Primary Outcome Measure Information:

Title

Number of hospitalizations

Time Frame

9 months

Secondary Outcome Measure Information:

Title

Sense of community

Time Frame

Baseline, 3 and 9 months

Title

Motivation for change

Time Frame

Baseline, 3 and 9 months

Title

Social functioning

Time Frame

Baseline, 3 abd 9 months

Title

Hope

Time Frame

Baseline, 3 and 9 months

Title

Self-determination

Time Frame

Baseline, 3 and 9 months

Title

Functional status

Time Frame

Baseline, 3 and 9 months

Title

Treatment relationship

Time Frame

Baseline, 3 and 9 months

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Maximum Age & Unit of Time

80 Years

Accepts Healthy Volunteers

Eligibility Criteria

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

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

William H Sledge, MD

Organizational Affiliation

Yale University

Official's Role

Principal Investigator

Facility Information:

Facility Name

Yale-New Haven Psychiatric Hospital

City

New Haven

State/Province

Connecticut

ZIP/Postal Code

06519

Country

United States

12. IPD Sharing Statement

Citations:

PubMed Identifier

29656708

Citation

O'Connell MJ, Sledge WH, Staeheli M, Sells D, Costa M, Wieland M, Davidson L. Outcomes of a Peer Mentor Intervention for Persons With Recurrent Psychiatric Hospitalization. Psychiatr Serv. 2018 Jul 1;69(7):760-767. doi: 10.1176/appi.ps.201600478. Epub 2018 Apr 16.

Results Reference

derived

Links:

URL

http://www.yale.edu/prch

Description

Yale Program for Recovery and Community Health

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Recovery Guide Intervention for Recurrent Psychiatric Hospitalization

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