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Effectiveness of a peer-supported crisis intervention to reduce the proportion of compulsory admissions in acute psychiatric crisis interventions in an outreach and outpatient setting: study protocol for an exploratory cluster randomised trial combined with qualitative methods.
Oeltjen, Lena Katharina; Schulz, Maike; Heuer, Imke; Knigge, Georg; Nixdorf, Rebecca; Briel, Denis; Hamer, Patricia; Brannath, Werner; Utschakowski, Jörg; Mahlke, Candelaria; Gerhardus, Ansgar.
Afiliação
  • Oeltjen LK; Department of Health Services Research, Institute of Public Health and Nursing Research, Health Sciences Bremen, University of Bremen, Bremen, Germany lena.oeltjen@uni-bremen.de.
  • Schulz M; Department of Psychiatry and Psychotherapy, Hospital Bremen-Ost, Gesundheit Nord Klinikverbund Bremen gGmbH (GENO), Bremen, Germany.
  • Heuer I; Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Knigge G; Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Nixdorf R; Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Briel D; Department of Psychiatry and Psychotherapy, Hospital Bremen-Ost, Gesundheit Nord Klinikverbund Bremen gGmbH (GENO), Bremen, Germany.
  • Hamer P; Department of Health Bremen, Bremen, Germany.
  • Brannath W; Competence Center for Clinical Trials Bremen, University of Bremen, Bremen, Germany.
  • Utschakowski J; Department of Mental Health and Addiction, Ministry of Health, Women and Consumer Protection, Bremen, Germany.
  • Mahlke C; Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Gerhardus A; Department of Health Services Research, Institute of Public Health and Nursing Research, Health Sciences Bremen, University of Bremen, Bremen, Germany.
BMJ Open ; 14(5): e083385, 2024 May 30.
Article em En | MEDLINE | ID: mdl-38816053
ABSTRACT

INTRODUCTION:

Compulsory admissions are associated with feelings of fear, humiliation and powerlessness. The number of compulsory admissions in Germany and other high-income countries has increased in recent years. Peer support has been shown to increase the self-efficacy of individuals with mental health conditions in acute crises and to reduce the use of coercive measures in clinical settings. The objective of this study is to reduce the number of compulsory admissions by involving peer support workers (PSWs) in acute mental health crises in outreach and outpatient settings. METHODS AND

ANALYSIS:

This one-year intervention is an exploratory, cluster randomised study. Trained PSWs will join the public crisis intervention services (CIS) in two of five regions (the intervention regions) in the city of Bremen (Germany). PSWs will participate in crisis interventions and aspects of the mental health services. They will be involved in developing and conducting an antistigma training for police officers. The remaining three regions will serve as control regions. All individuals aged 18 and older who experience an acute mental health crisis during the operating hours of the regional CIS in the city of Bremen (around 2000 in previous years) will be included in the study. Semistructured interviews will be conducted with PSWs, 30 patients from control and intervention regions, as well as two focus group discussions with CIS staff. A descriptive comparison between all participants in the intervention and control regions will assess the proportion of compulsory admissions in crisis interventions during the baseline and intervention years, including an analysis of temporal changes. ETHICS AND DISSEMINATION This study was approved by the Ethics Committee of the University of Bremen (file 2022-09) on 20 June 2022. The results will be presented via scientific conferences, scientific journals and communicated to policy-makers and practitioners. TRIAL REGISTRATION NUMBER DRKS00029377.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Grupo Associado / Intervenção em Crise / Pesquisa Qualitativa / Transtornos Mentais Limite: Adult / Female / Humans / Male País/Região como assunto: Europa Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Grupo Associado / Intervenção em Crise / Pesquisa Qualitativa / Transtornos Mentais Limite: Adult / Female / Humans / Male País/Região como assunto: Europa Idioma: En Ano de publicação: 2024 Tipo de documento: Article