HoPe: Home Treatment and Peer Support for Acute Mental Health Crisis

Universitätsklinikum Hamburg-Eppendorf

Status: Active, not recruiting

Conditions: Severe Mental Health Condition With Indication of Hospital Admission

Treatments: Behavioral: Home Treatment with Peer Support; Behavioral: Home Treatment without Peer Support

Study type: Interventional

Funder types: Other

Identifiers

NCT04336527

LPEK-0096

Details and patient eligibility

About

Home treatment (HT) is an effective treatment modality for patients with severe mental illness (SMI) in acute crisis that can often be considered equivalent to inpatient treatment in terms of treatment outcome. In Peer Support (PS) patients are supported by people with personal experiences in psychiatric crises. The current study investigates a combination of both approaches - a HT plus PS intervention - versus sole HT at different study sites throughout Germany. It is hypothesized that a peer-supported home-delivered treatment (HT plus PS) is more effective than a professional-led home-delivered treatment (HT alone) with respect to the time until hospital readmission, self-efficacy, psychosocial health, recovery orientation, internalized stigma and service satisfaction. Furthermore, it is hypothesized, that a peer-supported home delivered treatment (HT plus PS) is as effective as a professional-led home-delivered treatment (HT alone) with respect to disease severity and general functioning (secondary outcomes).

Enrollment: 201 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• severe mental illness with indication of hospital admission (F2, F3, F6, F41, F42)

Exclusion criteria

• primary diagnosis of F0 or F1 (Mental disorders due to known physiological conditions; Mental and behavioral disorders due to psychoactive substance use)
• acute suicidality
• verbal or cognitive impairment severe enough to be unable to give informed consent

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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201 participants in 2 patient groups

Home Treatment with Peer Support

Experimental group

Description:

Patients receive a peer supported home treatment, i.e. treatment by a home treatment/crisis resolution team with a peer support worker.

Treatment:

Behavioral: Home Treatment with Peer Support

Home Treatment without Peer Support

Active Comparator group

Description:

Patients receive conventional home treatment by a home treatment/crisis resolution team without contacts to a peer support worker.

Treatment:

Behavioral: Home Treatment without Peer Support