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Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use

Not Applicable
Completed
Conditions
Serious Mental Illness
Registration Number
NCT01566513
Lead Sponsor
Yale University
Brief Summary

The current study, through a randomized controlled design, will evaluate the effectiveness of peer support, as compared to usual care and to an equivalent amount of support offered by peer case managers and non-peer recovery mentors, in reducing hospital days and readmissions and in promoting recovery and community inclusion among adults with mental illnesses with histories of multiple hospitalizations. The current study evaluates the cost-effectiveness of adding peer support to the array of services available to persons with serious mental illnesses who have histories of multiple hospitalizations and will test a theoretical model of the active ingredients of peer support, focusing specifically on the roles of 1) instillation of hope through positive self-disclosure; 2) role modeling of self-care and exploring new ways of using experiential knowledge; and 3) a trusting relationship characterized by acceptance, understanding, and empathy with conditional regard.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
285
Inclusion Criteria
  • 2 or more psychiatric hospitalizations in the past year
  • A diagnosis of serious mental illness
Exclusion Criteria
  • Dementia or other organic condition limiting ability to provide informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Service use3 months

Via self-report from the participant

Service Use9 months

Via self-report from the participant

Secondary Outcome Measures
NameTimeMethod
Quality of life3 month

Measured using Lehman's Brief Quality of Life scale

Psychiatric symptoms9 months

Measured using the Symptom Distress scale and the Paranoia and Psychoticism subscales from the Symptom Check List-90 (SCL-90)

Community inclusion3 months

Measured using Mancini's Community Connections Inventory

Quality of Life9 months

Measured using Lehman's Brief Quality of Life scale

Community Inclusion9 months

Measured using Mancini's Community Connections Inventory

Trial Locations

Locations (1)

Yale Psychiatric Hospital

🇺🇸

New Haven, Connecticut, United States

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