Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use

Serious Mental Illness Clinical Trial

— Project PEP  

Official title:

Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01566513
• Other study ID #: 1010007542
• Secondary ID: 1R01MH091453
• Status: Completed
• Phase: N/A
• First received: March 26, 2012
• Last updated: January 22, 2015
• Start date: August 2011
• Est. completion date: November 2013

Study information

• Verified date: January 2015
• Source: Yale University
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review BoardUnited States: Federal Government
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 285
• Est. completion date: November 2013
• Est. primary completion date: November 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Mental Disorders
• Serious Mental Illness

Intervention

Behavioral:
• Community Connector
The participant randomized into this arm of the study is invited to work with a person trained as a community connector, someone who is trained in Intentional Peer Support but does not have a lived experience of mental illness.
• 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
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.

Locations

Country	Name	City	State
United States	Yale Psychiatric Hospital	New Haven	Connecticut

Sponsors (2)

Lead Sponsor	Collaborator
Yale University	National Institute of Mental Health (NIMH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Service use	Via self-report from the participant	3 months	No
Primary	Service Use	Via self-report from the participant	9 months	No
Secondary	Psychiatric symptoms	Measured using the Symptom Distress scale and the Paranoia and Psychoticism subscales from the Symptom Check List-90 (SCL-90)	3 months	No
Secondary	Quality of life	Measured using Lehman's Brief Quality of Life scale	3 month	No
Secondary	Community inclusion	Measured using Mancini's Community Connections Inventory	3 months	No
Secondary	Psychiatric symptoms	Measured using the Symptom Distress scale and the Paranoia and Psychoticism subscales from the Symptom Check List-90 (SCL-90)	9 months	No
Secondary	Quality of Life	Measured using Lehman's Brief Quality of Life scale	9 months	No
Secondary	Community Inclusion	Measured using Mancini's Community Connections Inventory	9 months	No