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OpenTrials
Completed

NCT Number: NCT01566513

Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use

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.

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Key information

Conditions

Serious Mental Illness

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Yale Psychiatric Hospital

New Haven, Connecticut, 06519, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Community Connector

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

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

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.

Primary outcomes

  1. Service use

    Time frame: 3 months

    Via self-report from the participant

  2. Service Use

    Time frame: 9 months

    Via self-report from the participant

Secondary outcomes

  1. Psychiatric symptoms

    Time frame: 3 months

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

  2. Quality of life

    Time frame: 3 month

    Measured using Lehman's Brief Quality of Life scale

  3. Community inclusion

    Time frame: 3 months

    Measured using Mancini's Community Connections Inventory

  4. Psychiatric symptoms

    Time frame: 9 months

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

  5. Quality of Life

    Time frame: 9 months

    Measured using Lehman's Brief Quality of Life scale

  6. Community Inclusion

    Time frame: 9 months

    Measured using Mancini's Community Connections Inventory

Sponsors and collaborators

Lead sponsor

Yale University

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Acronym: Project PEP

Important dates

Study start
2011
Primary completion
2013
Study completion
2013
First posted
Mar 29, 2012
Registry last updated
Jan 26, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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