Project PEP: Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use

• Sponsor: Yale University (Other)
• Overall Status: Completed
• CT.gov ID: NCT01566513
• Collaborator: National Institute of Mental Health (NIMH) (NIH)
• Enrollment: 285
• Location: 1
• Arms: 4
• Duration (Months): 27
• Patients Per Site Per Month: 10.5

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Serious Mental Illness	Behavioral: Community Connector; Behavioral: Peer Recovery Mentor; Behavioral: Peer Case Manager	N/A

Study Design

• Study Type: Interventional
• Actual Enrollment: 285 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use
• Study Start Date: Aug 1, 2011
• Actual Primary Completion Date: Nov 1, 2013
• Actual Study Completion Date: Nov 1, 2013

Arms and Interventions

Arm	Intervention/Treatment
No Intervention: Treatment as usual
Experimental: 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.	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.
Experimental: 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.	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.
Experimental: 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.	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.

Outcome Measures

Primary Outcome Measures

1. Service use [3 months]

   Via self-report from the participant

2. Service Use [9 months]

   Via self-report from the participant

Secondary Outcome Measures

1. Psychiatric symptoms [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 [3 month]

   Measured using Lehman's Brief Quality of Life scale

3. Community inclusion [3 months]

   Measured using Mancini's Community Connections Inventory

4. Psychiatric symptoms [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 [9 months]

   Measured using Lehman's Brief Quality of Life scale

6. Community Inclusion [9 months]

   Measured using Mancini's Community Connections Inventory

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Yale Psychiatric Hospital	New Haven	Connecticut	United States	06519

Sponsors and Collaborators

• Yale University
• National Institute of Mental Health (NIMH)

Investigators

• Principal Investigator: Larry Davidson, PhD, Yale Program for Recovery and Community Health

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Yale University
• ClinicalTrials.gov Identifier: NCT01566513
• Other Study ID Numbers: 1010007542; 1R01MH091453
• First Posted: Mar 29, 2012
• Last Update Posted: Jan 26, 2015
• Last Verified: Jan 1, 2015

• Keywords provided by Yale University: Peer Support; Cost Effectiveness; Reducing Hospital use; Serious Mental Illness
• Additional relevant MeSH terms: Mental Disorders

Study Results

No Results Posted as of Jan 26, 2015