Investigating the effectiveness of inpatient mental health rehabilitation services in the NHS and independent sector
- Conditions
- Mental healthMental and Behavioural Disorders
- Registration Number
- ISRCTN17381762
- Lead Sponsor
- Camden and Islington NHS Foundation Trust
- Brief Summary
2024 Protocol article in https://doi.org/10.1186/s12888-024-05524-6 (added 07/02/2024)
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Ongoing
- Sex
- All
- Target Recruitment
- 500
Patients:
1. Inpatients at rehabilitation units that are participating in the study
2. Provide informed consent to participate in the study. All efforts will be made to maximise the capacity of each patient to be able to provide informed consent for the study (for example, by explaining the purpose and process of the study in simple terms and over a number of meetings), and any patient with capacity who declines participation will not be included. However, for eligible patients who lack capacity to give informed consent we will seek advice from a consultee on their participation. Further detail on the procedure for seeking informed consent and assessing capacity is provided in section 8. Research data for participants lacking capacity will be collected via staff interview and healthcare records (as described above), but these participants will not be asked to participate in an interview themselves. The researchers expect only a minority of eligible patients to lack capacity (around 8% based on the REAL study) but it is important they are included in the study in order to prevent sample bias.
Services:
1. High dependency, community, or longer-term high dependency rehabilitation units
2. Community rehabilitation units will only be included if they are registered with CQC as an inpatient unit (rather than supported housing or residential care)
Patients:
1. Unavailable during the researcher's visit, because they are on leave from the ward during the visit or are otherwise unavailable
2. Do not have an adequate understanding of English to understand the main purpose of the research and what participating would involve for them
Services:
1. Highly specialist units that focus on sub-groups (such as people with a diagnosis on the autism spectrum or those with neurodegenerative disease)
2. Specialist forensic mental health units (i.e. low secure rehabilitation units) as they do not form part of the standard mental health rehabilitation care pathway and are subject to specialist commissioning by NHS England
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Cohort study:<br>Successful discharge from inpatient rehabilitation, defined as being discharged to the community without readmission, measured using staff reports collected at 6, 12, and 18 months<br><br>Health economic evaluation:<br>Incremental cost-effectiveness ratio (ICER) comparing rehabilitation in the independent sector and rehabilitation in an NHS service calculated using cost-utility analysis (CUA) where the QALYs are measured using patient responses to the EuroQol 5-dimension 5-level (EQ-5D-5L) questionnaire collected at baseline, 6, 12, and 18 months
- Secondary Outcome Measures
Name Time Method Cohort study:<br>Total inpatient days over the follow-up period measured using staff reports collected at 6, 12, and 18 months