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Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release

BACKGROUND: Rates of common mental health problems are much higher in prison populations, but access to primary care mental health support falls short of community equivalence. Discontinuity of care on release is the norm and is further complicated by substance use and a range of social problems, e....

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Autores principales: Lennox, Charlotte, Kirkpatrick, Tim, Taylor, Rod S., Todd, Roxanne, Greenwood, Clare, Haddad, Mark, Stevenson, Caroline, Stewart, Amy, Shenton, Deborah, Carroll, Lauren, Brand, Sarah L., Quinn, Cath, Anderson, Rob, Maguire, Mike, Harris, Tirril, Shaw, Jennifer, Byng, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5501110/
https://www.ncbi.nlm.nih.gov/pubmed/28694994
http://dx.doi.org/10.1186/s40814-017-0163-6
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author Lennox, Charlotte
Kirkpatrick, Tim
Taylor, Rod S.
Todd, Roxanne
Greenwood, Clare
Haddad, Mark
Stevenson, Caroline
Stewart, Amy
Shenton, Deborah
Carroll, Lauren
Brand, Sarah L.
Quinn, Cath
Anderson, Rob
Maguire, Mike
Harris, Tirril
Shaw, Jennifer
Byng, Richard
author_facet Lennox, Charlotte
Kirkpatrick, Tim
Taylor, Rod S.
Todd, Roxanne
Greenwood, Clare
Haddad, Mark
Stevenson, Caroline
Stewart, Amy
Shenton, Deborah
Carroll, Lauren
Brand, Sarah L.
Quinn, Cath
Anderson, Rob
Maguire, Mike
Harris, Tirril
Shaw, Jennifer
Byng, Richard
author_sort Lennox, Charlotte
collection PubMed
description BACKGROUND: Rates of common mental health problems are much higher in prison populations, but access to primary care mental health support falls short of community equivalence. Discontinuity of care on release is the norm and is further complicated by substance use and a range of social problems, e.g. homelessness. To address these problems, we worked with criminal justice, third sector social inclusion services, health services and people with lived experiences (peer researchers), to develop a complex collaborative care intervention aimed at supporting men with common mental health problems near to and following release from prison. This paper describes an external pilot trial to test the feasibility of a full randomised controlled trial. METHODS: Eligible individuals with 4 to 16 weeks left to serve were screened to assess for common mental health problems. Participants were then randomised at a ratio of 2:1 allocation to ENGAGER plus standard care (intervention) or standard care alone (treatment as usual). Participants were followed up at 1 and 3 months’ post release. Success criteria for this pilot trial were to meet the recruitment target sample size of 60 participants, to follow up at least 50% of participants at 3 months’ post release from prison, and to deliver the ENGAGER intervention. Estimates of recruitment and retention rates and 95% confidence intervals (CIs) are reported. Descriptive analyses included summaries (percentages or means) for participant demographics, and baseline characteristics are reported. RESULTS: Recruitment target was met with 60 participants randomised in 9 months. The average retention rates were 73% at 1 month [95% CI 61 to 83] and 47% at 3 months follow-up [95% CI 35 to 59]. Ninety percent of participants allocated to the intervention successfully engaged with a practitioner before release and 70% engaged following release. CONCLUSIONS: This pilot confirms the feasibility of conducting a randomised trial for prison leavers with common mental health problems. Based on this pilot study and some minor changes to the trial design and intervention, a full two-centre randomised trial assessing the clinical and cost-effectiveness of the ENGAGER intervention is currently underway. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40814-017-0163-6) contains supplementary material, which is available to authorized users.
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spelling pubmed-55011102017-07-10 Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release Lennox, Charlotte Kirkpatrick, Tim Taylor, Rod S. Todd, Roxanne Greenwood, Clare Haddad, Mark Stevenson, Caroline Stewart, Amy Shenton, Deborah Carroll, Lauren Brand, Sarah L. Quinn, Cath Anderson, Rob Maguire, Mike Harris, Tirril Shaw, Jennifer Byng, Richard Pilot Feasibility Stud Research BACKGROUND: Rates of common mental health problems are much higher in prison populations, but access to primary care mental health support falls short of community equivalence. Discontinuity of care on release is the norm and is further complicated by substance use and a range of social problems, e.g. homelessness. To address these problems, we worked with criminal justice, third sector social inclusion services, health services and people with lived experiences (peer researchers), to develop a complex collaborative care intervention aimed at supporting men with common mental health problems near to and following release from prison. This paper describes an external pilot trial to test the feasibility of a full randomised controlled trial. METHODS: Eligible individuals with 4 to 16 weeks left to serve were screened to assess for common mental health problems. Participants were then randomised at a ratio of 2:1 allocation to ENGAGER plus standard care (intervention) or standard care alone (treatment as usual). Participants were followed up at 1 and 3 months’ post release. Success criteria for this pilot trial were to meet the recruitment target sample size of 60 participants, to follow up at least 50% of participants at 3 months’ post release from prison, and to deliver the ENGAGER intervention. Estimates of recruitment and retention rates and 95% confidence intervals (CIs) are reported. Descriptive analyses included summaries (percentages or means) for participant demographics, and baseline characteristics are reported. RESULTS: Recruitment target was met with 60 participants randomised in 9 months. The average retention rates were 73% at 1 month [95% CI 61 to 83] and 47% at 3 months follow-up [95% CI 35 to 59]. Ninety percent of participants allocated to the intervention successfully engaged with a practitioner before release and 70% engaged following release. CONCLUSIONS: This pilot confirms the feasibility of conducting a randomised trial for prison leavers with common mental health problems. Based on this pilot study and some minor changes to the trial design and intervention, a full two-centre randomised trial assessing the clinical and cost-effectiveness of the ENGAGER intervention is currently underway. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40814-017-0163-6) contains supplementary material, which is available to authorized users. BioMed Central 2017-07-07 /pmc/articles/PMC5501110/ /pubmed/28694994 http://dx.doi.org/10.1186/s40814-017-0163-6 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Lennox, Charlotte
Kirkpatrick, Tim
Taylor, Rod S.
Todd, Roxanne
Greenwood, Clare
Haddad, Mark
Stevenson, Caroline
Stewart, Amy
Shenton, Deborah
Carroll, Lauren
Brand, Sarah L.
Quinn, Cath
Anderson, Rob
Maguire, Mike
Harris, Tirril
Shaw, Jennifer
Byng, Richard
Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release
title Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release
title_full Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release
title_fullStr Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release
title_full_unstemmed Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release
title_short Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release
title_sort pilot randomised controlled trial of the engager collaborative care intervention for prisoners with common mental health problems, near to and after release
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5501110/
https://www.ncbi.nlm.nih.gov/pubmed/28694994
http://dx.doi.org/10.1186/s40814-017-0163-6
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