Recovery Guide Intervention for Recurrent Psychiatric Hospitalization

Not Applicable

Completed

• Conditions: Schizophrenia; Schizoaffective Disorder; Bipolar Disorder; Psychotic Depression
• Interventions: Behavioral: Recovery Mentor

• Registration Number: NCT00400166
• Lead Sponsor: Yale University

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.

Study Timeline

• Study First Submitted: 2006-11-15
• Study First Submitted QC: 2006-11-15
• Study First Posted: 2006-11-16
• Study Start: 2006-12
• Primary Completion: 2009-05
• Study Completion: 2009-05
• Status Verified: 2009-06
• Last Update Submitted: 2009-06-10
• Last Update Posted: 2009-06-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 71

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
1	Recovery Mentor	Recovery Mentor: peer-based supportive care

Primary Outcome Measures

Name	Time	Method
Number of hospitalizations	9 months

Secondary Outcome Measures

Name	Time	Method
Self-determination	Baseline, 3 and 9 months
Functional status	Baseline, 3 and 9 months
Treatment relationship	Baseline, 3 and 9 months
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

Trial Locations

Locations (1)

Yale-New Haven Psychiatric Hospital; 🇺🇸 New Haven, Connecticut, United States