Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use

NCT ID: NCT01566513

Last Updated: 2015-01-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

285 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2013-11-30

Brief Summary

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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

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Conditions

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Serious Mental Illness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment as usual

Group Type NO_INTERVENTION

No interventions assigned to this group

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.

Group Type EXPERIMENTAL

Community Connector

Intervention Type BEHAVIORAL

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.

Group Type EXPERIMENTAL

Peer Recovery Mentor

Intervention Type BEHAVIORAL

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

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.

Group Type EXPERIMENTAL

Peer Case Manager

Intervention Type BEHAVIORAL

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.

Interventions

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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.

Intervention Type BEHAVIORAL

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.

Intervention Type BEHAVIORAL

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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Larry Davidson, PhD

Role: PRINCIPAL_INVESTIGATOR

Yale Program for Recovery and Community Health

Locations

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Yale Psychiatric Hospital

New Haven, Connecticut, United States

Site Status

Countries

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United States

Other Identifiers

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1R01MH091453

Identifier Type: NIH

Identifier Source: secondary_id

View Link

1010007542

Identifier Type: -

Identifier Source: org_study_id

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