Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use

Not Applicable

Completed

• Conditions: Serious Mental Illness
• Interventions: Behavioral: Community Connector; Behavioral: Peer Recovery Mentor; Behavioral: Peer Case Manager

• 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

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2011-08
• Study First Submitted: 2012-03-26
• Study First Submitted QC: 2012-03-28
• Study First Posted: 2012-03-29
• Primary Completion: 2013-11
• Study Completion: 2013-11
• Status Verified: 2015-01
• Last Update Submitted: 2015-01-22
• Last Update Posted: 2015-01-26

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

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Exclusion Criteria

• Dementia or other organic condition limiting ability to provide informed consent

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Community Connector	Community Connector	The participant randomized into this arm of the study is invited to work with a person trained as a community connector, who is trained in Intentional Peer Support but does not have a lived experience of mental illness.
Peer Recovery Mentor	Peer Recovery Mentor	A participant randomized into this arm of the study is offered the chance to work with a Peer Recovery Mentor, who is trained in Intentional Peer Support.
Peer Case Manager	Peer Case Manager	If a participant is randomized into this condition, they are offered the chance to work with a Case Manager, who is trained in strengths-based case management.

Primary Outcome Measures

Name	Time	Method
Service use	3 months	Via self-report from the participant
Service Use	9 months	Via self-report from the participant

Secondary Outcome Measures

Name	Time	Method
Psychiatric symptoms	9 months	Measured using the Symptom Distress scale and the Paranoia and Psychoticism subscales from the Symptom Check List-90 (SCL-90)
Quality of life	3 month	Measured using Lehman's Brief Quality of Life scale
Community inclusion	3 months	Measured using Mancini's Community Connections Inventory
Quality of Life	9 months	Measured using Lehman's Brief Quality of Life scale
Community Inclusion	9 months	Measured using Mancini's Community Connections Inventory

Trial Locations

Locations (1)

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