Supporting People Involuntarily Admitted to a Psychiatric Hospital Through a Brief Case Management Intervention That Promotes Personal Recovery and Reduces the Negative Effects of Coercion: a Pilot Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Psychiatric Disorder
- Sponsor
- University of Lausanne Hospitals
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Eligibility rate
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The goal of this clinical trial is to assess whether a brief case management intervention aimed at promoting personal recovery and reducing the negative effects of coercion among people involuntarily admitted to a psychiatric hospital would be well accepted by them, practically feasible and useful. The main questions it aims to answer are:
- Is the case management intervention acceptable and feasible?
- What are the preliminary effects of the case management intervention on patients' personal recovery and its sub-dimensions, as well as on their level of perceived coercion and their global satisfaction with hospital care?
Participants will be asked to take part in:
- the five sessions of the case management intervention;
- two evaluation sessions (pre and post-intervention);
- a final in-depth semi-structured interview (optional).
Investigators
Stéphane Morandi
Deputy Head of the Community Psychiatry Service, PD & MER
University of Lausanne Hospitals
Eligibility Criteria
Inclusion Criteria
- •To have been involuntarily admitted by a medical doctor
- •To be aged between 18 and 65 years
Exclusion Criteria
- •Patients unable to provide written consent due to a lack of discernment
- •Patients unable to speak French well enough to participate in the study without the help of an interpreter
Outcomes
Primary Outcomes
Eligibility rate
Time Frame: From start of study recruitment through study recruitment completion, on average 6 months
Number of eligible patients/number of patients involuntarily hospitalised on site during study period as reported in a structured flowchart by the case managers after each site visit
Participation rate
Time Frame: From start of study recruitment through study recruitment completion, on average 6 months
Number of patients accepting to participate/number of approached patients as reported in a structured flowchart by the case managers after each site visit and based on the number of signed consent forms
Drop-out rate
Time Frame: Post-intervention, up to 1 month post hospital discharge
Number of patients who completed the programme/number of recruited patients as reported by case managers in a structured questionnaire detailing which intervention sessions were delivered to each patient
Intervention dosage
Time Frame: Post-intervention, up to 1 month post hospital discharge
Mean number of sessions delivered per participant as reported by case managers in a structured questionnaire detailing which intervention sessions were delivered to each patient
Missing data rates
Time Frame: At the end of the study, on average 9 months after the inclusion of the first participant
Percentage of missing data
Number of unexpected adverse events
Time Frame: Up to 1 week after hospital admission through up to 1 month post hospital discharge
Number of unexpected adverse events related to the intervention reported in a structured form by the case managers or the investigator
Participants' acceptance and degree of satisfaction
Time Frame: Post-intervention, up to 1 month post hospital discharge
Participants' acceptance and degree of satisfaction with both the intervention and the research process qualitatively assessed through semi-structured interviews
Implementation barriers and facilitating factors
Time Frame: After the last included participant final evaluation, on average 8 months after the inclusion of the first participant
Barriers and facilitating factors encountered throughout the implementation process as described by some members of the hospital team, during in-depth semi-structured interviews.
Secondary Outcomes
- Empowerment Scale(Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention))
- Brief INSPIRE scale(Post-intervention, up to 1 month post hospital discharge)
- Recovery Assessment Scale (RAS)(Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention))
- Coercion Ladder (CL)(Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention))
- Satisfaction with hospital care(Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention))
- The Paradox of Self-Stigma scale (PaSS-24)(Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention))
- Index of fairness and Index of effectiveness(Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention))
- Rosenberg Self-Esteem Scale (RSS)(Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention))
- Beck Hopelessness Scale (BHS)(Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention))
- WHOQOL-BREF(Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention))
- International Trauma Questionnaire (ITQ)(Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention))