Method of Levels for People Using Community Crisis Services

Not Applicable

Active, not recruiting

• Conditions: Individuals Presenting to Crisis Services
• Interventions: Behavioral: Method of Levels Therapy

• Registration Number: NCT05484518
• Lead Sponsor: University of Manchester

Brief Summary

A mental health crisis is when someone is so distressed they need urgent help from services; often because they behave in ways that poses risk to themselves or others. Crisis teams offer care in the community to support people at home rather than in hospital. Current psychological interventions offered by crisis teams tend to be short-term and mainly involve providing information about the difficulties people are experiencing and help them to develop skills, such people as problem solving. This can be useful, however providing more intensive psychological support has been much more difficult within crisis settings, as teams must use limited resources to focus on managing risk. A therapy, called Method of Levels (MOL), designed to be flexible, may be helpful to add to treatment offered by crisis services in the community.

MOL aims to help people hold their attention on a problem long enough to view it in different ways, so that they might think of new solutions. This works by helping a person to regain a sense of control in their life and feel less distressed. MOL is useful for working with lots of different issues, since therapy does not only focus on one type of problem. People also get to choose what is discussed in therapy and session structure.

Research has shown MOL can be useful for people in crisis in places such as inpatient settings. So far, no research has been conducted within the community for people in crisis. This study aims to examine if MOL can be delivered within a crisis service in a way that is helpful and acceptable to people. To do this, the investigators will offer MOL to a small number of people presenting to crisis teams and collect information on whether people take up the therapy, and their experience of receiving it.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-07-27
• Study First Submitted QC: 2022-07-29
• Study First Posted: 2022-08-02
• Study Start: 2022-09-06
• Status Verified: 2022-12
• Last Update Submitted: 2022-12-16
• Last Update Posted: 2022-12-21
• Primary Completion: 2023-02
• Study Completion: 2023-03

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 6

Inclusion Criteria

1. Adults, aged over 18 years.
2. Meet criteria for crisis services and currently working with the crisis team
3. Able to provide informed consent (no queries regarding capacity)
4. Willing to engage in psychological therapy.
5. Ability to speak English fluently enough to provide informed consent and engage in therapy.

Exclusion Criteria

1. Inability to provide informed consent.
2. Inability to speak English fluently enough to engage in therapy: As MOL is a therapy that relies on mobilising attention, the use of interpreters during therapy for non-English speakers may serve to alter the participants attention differently. This may confound results; as this is a preliminary case series, it would not be appropriate to include non-English speakers.
3. Problems of an organic nature, or a learning disability that might affect cognitive functioning.
4. Substance misuse as primary presenting problem.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Method of Levels Therapy	Method of Levels Therapy	Method of levels therapy, see intervention details. All participants will receive therapy and must attend a minimum of one session for their data to be included in the study.

Primary Outcome Measures

Name	Time	Method
Recruitment rate.	Length of study (up to one year)	Number of participants recruited into the study.
Qualitative interviews	End of therapy, up to 5 months.	Thematic analysis of qualitative interviews following end of therapy.
Psychological Outcome Profiles.	Beginning of each therapy session for length of therapy (chosen by participant), up to 5 months	Quantitative measure to indicate acceptability. Total score between 0-20, where a lower score indicates a better outcome.
Session Rating Scale.	End of each therapy session (chosen by participant), up to 5 months.	Quantitative measure to indicate acceptability.Total score between 0-40, where a lower score indicates a better outcome.
Retention rate.	Length of study (up to one year)	Number of participants retained to the end of the study.

Secondary Outcome Measures

Name	Time	Method
Clinical Outcomes in Routine Evaluation Outcome Measure	On recruitment, monthly (up to 5 months), one month follow up	Questionnaire. Total score between 0-136, where a lower score indicates a better outcome.
BBC Subjective Well-being scale (BBC-SWB) (Kinderman, Schwannauer, Pontin, & Tai, 2011).	On recruitment, monthly (up to 5 months), one month follow up	Questionnaire. 24 items scores on a 5 point likert scale, where 5 indiicates high wellbeing.
Suicidal ideation Attributes Scale.	On recruitment, monthly (up to 5 months), one month follow up	Questionnaire. Total score of 0-50, where a higher score indicates more severe suicidal thoguhts.
Reorganisation of Conflict Scale.	On recruitment, monthly (up to 5 months), one month follow up	Questionnaire. 22 self reported items, each on a scale of 0-100, where a lower score indicates a better outcome.

Trial Locations

Locations (1)

University of Manchester; 🇬🇧 Manchester, United Kingdom