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Development of a peer-supported, self-management intervention for people following mental health crisis

Milton, Alyssa, Lloyd-Evans, Brynmor, Fullarton, Kate, Morant, Nicola, Paterson, Bethan, Hindle, David, Kelly, Kathleen, Mason, Oliver, Lambert, Marissa and Johnson, Sonia (2017) Development of a peer-supported, self-management intervention for people following mental health crisis BMC Research Notes, 10 (1).

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Abstract

Background

A documented gap in support exists for service users following discharge from acute mental health services, and structured interventions to reduce relapse are rarely provided. Peer-facilitated self-management interventions have potential to meet this need, but evidence for their effectiveness is limited. This paper describes the development of a peer-provided self-management intervention for mental health service users following discharge from crisis resolution teams (CRTs).

Methods

A five-stage iterative mixed-methods approach of sequential data collection and intervention development was adopted, following the development and piloting stages of the MRC framework for developing and evaluating complex interventions. Evidence review (stage 1) included systematic reviews of both peer support and self-management literature. Interviews with CRT service users (n = 41) regarding needs and priorities for support following CRT discharge were conducted (stage 2). Focus group consultations (n = 12) were held with CRT service-users, staff and carers to assess the acceptability and feasibility of a proposed intervention, and to refine intervention organisation and content (stage 3). Qualitative evaluation of a refined, peer-provided, self-management intervention involved qualitative interviews with CRT service user participants (n = 9; n = 18) in feasibility testing (stage 4) and a pilot trial (stage 5), and a focus group at each stage with the peer worker providers (n = 4).

Results

Existing evidence suggests self-management interventions can reduce relapse and improve recovery. Initial interviews and focus groups indicated support for the overall purpose and planned content of a recovery-focused self-management intervention for people leaving CRT care adapted from an existing resource: The personal recovery plan (developed by Repper and Perkins), and for peer support workers (PSWs) as providers. Participant feedback after feasibility testing was positive regarding facilitation of the intervention by PSWs; however, the structured self-management booklet was underutilised. Modifications to the self-management intervention manual and PSWs’ training were made before piloting, which confirmed the acceptability and feasibility of the intervention for testing in a future, definitive trial.

Conclusions

A manualised intervention and operating procedures, focusing on the needs and priorities of the target client group, have been developed through iterative stages of intervention development and feedback for testing in a trial context.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
NameEmailORCID
Milton, AlyssaUNSPECIFIEDUNSPECIFIED
Lloyd-Evans, BrynmorUNSPECIFIEDUNSPECIFIED
Fullarton, KateUNSPECIFIEDUNSPECIFIED
Morant, NicolaUNSPECIFIEDUNSPECIFIED
Paterson, BethanUNSPECIFIEDUNSPECIFIED
Hindle, DavidUNSPECIFIEDUNSPECIFIED
Kelly, KathleenUNSPECIFIEDUNSPECIFIED
Mason, Olivero.mason@surrey.ac.ukUNSPECIFIED
Lambert, MarissaUNSPECIFIEDUNSPECIFIED
Johnson, SoniaUNSPECIFIEDUNSPECIFIED
Date : 9 November 2017
Identification Number : 10.1186/s13104-017-2900-6
Copyright Disclaimer : © The Author(s) 2017. This 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.
Uncontrolled Keywords : Programme development; Peer support; Self-management; Complex interventions; Mental health; Recovery; Crisis resolution teams
Depositing User : Clive Harris
Date Deposited : 12 Dec 2017 14:57
Last Modified : 12 Dec 2017 14:57
URI: http://epubs.surrey.ac.uk/id/eprint/845234

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