Recovery Guide Intervention for Recurrent Psychiatric Hospitalization

Study Overview
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Brief Summary
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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
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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.

Official Title
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Recovery Guide Intervention for Recurrent Psychiatric Hospitalization

Conditions
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Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, Psychotic Depression

Intervention / Treatment
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* Behavioral: Recovery Mentor


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>Recovery Mentor: peer-based supportive care | Behavioral: Recovery Mentor<br>* Provided Recovery Mentor services<br>|
| No Intervention: 0<br>No Recovery Mentor, services as usual | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of hospitalizations |  | 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sense of community |  | Baseline, 3 and 9 months | 
| Motivation for change |  | Baseline, 3 and 9 months | 
| Social functioning |  | Baseline, 3 abd 9 months | 
| Hope |  | Baseline, 3 and 9 months | 
| Self-determination |  | Baseline, 3 and 9 months | 
| Functional status |  | Baseline, 3 and 9 months | 
| Treatment relationship |  | Baseline, 3 and 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Peer support, Psychiatric disability, Mutual support, Psychiatric Rehabilitation