Clinical trial NCT00400166: Recovery Guide Intervention for Recurrent Psychiatric Hospitalization
Official title: Recovery Guide Intervention for Recurrent Psychiatric Hospitalization
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Schizophrenia
Schizoaffective Disorder
Bipolar Disorder
Psychotic Depression
Keywords: Peer support
Psychiatric disability
Mutual support
Psychiatric Rehabilitation
Lead sponsor: Yale University
Sponsor class: OTHER
Collaborators: name: Connecticut State, Department of Mental Health and Addiction Services
name: Eli Lilly and Company
First posted: 2006-11-16
Enrollment: 71
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

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.

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

Primary outcomes:
measure: Number of hospitalizations
timeFrame: 9 months
Secondary outcomes:
measure: Sense of community
timeFrame: Baseline, 3 and 9 months
measure: Motivation for change
timeFrame: Baseline, 3 and 9 months
measure: Social functioning
timeFrame: Baseline, 3 abd 9 months
measure: Hope
timeFrame: Baseline, 3 and 9 months
measure: Self-determination
timeFrame: Baseline, 3 and 9 months
measure: Functional status
timeFrame: Baseline, 3 and 9 months
measure: Treatment relationship
timeFrame: Baseline, 3 and 9 months
Other outcomes:
Locations:
city: New Haven
country: United States
facility: Yale-New Haven Psychiatric Hospital
state: Connecticut
Study officials:
affiliation: Yale University
name: William H Sledge, MD
role: PRINCIPAL_INVESTIGATOR
References:
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.