NCT01566513

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
285

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2011

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2011

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

March 26, 2012

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 29, 2012

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2013

Completed
Last Updated

January 26, 2015

Status Verified

January 1, 2015

Enrollment Period

2.3 years

First QC Date

March 26, 2012

Last Update Submit

January 22, 2015

Conditions

Serious Mental Illness

Keywords

Peer SupportCost EffectivenessReducing Hospital useSerious Mental Illness

Outcome Measures

Primary Outcomes (2)

  • Service use

    Via self-report from the participant

    3 months

  • Service Use

    Via self-report from the participant

    9 months

Secondary Outcomes (6)

  • Psychiatric symptoms

    3 months

  • Quality of life

    3 month

  • Community inclusion

    3 months

  • Psychiatric symptoms

    9 months

  • Quality of Life

    9 months

  • +1 more secondary outcomes

Study Arms (4)

Treatment as usual

NO INTERVENTION

Community Connector

EXPERIMENTAL

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.

Behavioral: Community Connector

Peer Recovery Mentor

EXPERIMENTAL

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.

Behavioral: Peer Recovery Mentor

Peer Case Manager

EXPERIMENTAL

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.

Behavioral: Peer Case Manager

Interventions

Community ConnectorBEHAVIORAL

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.

Community Connector
Peer Recovery MentorBEHAVIORAL

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 Recovery Mentor
Peer Case ManagerBEHAVIORAL

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

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • or more psychiatric hospitalizations in the past year
  • A diagnosis of serious mental illness

You may not qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Yale Psychiatric Hospital

New Haven, Connecticut, 06519, United States

Location

Study Officials

  • Larry Davidson, PhD

    Yale Program for Recovery and Community Health

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 26, 2012

First Posted

March 29, 2012

Study Start

August 1, 2011

Primary Completion

November 1, 2013

Study Completion

November 1, 2013

Last Updated

January 26, 2015

Record last verified: 2015-01

Locations

US(1)