Extrait

Background and study aims Critical Time Intervention (CTI), a case management model, was originally developed in New York to reduce homelessness amongst those discharged from hospital suffering from a mental illness. CTI is intensive case management at times of transition, e.g. between prison and the community. In 2007, CTI was adapted for mentally ill prisoners due to be released and a study was conducted to see if CTI effectively connected these prisoners with social, clinical, housing and welfare services in the first few weeks after leaving prison. Results suggested continuity of care for prisoners with severe mental illness can be improved by working with them to identify needs prior to release, and by assisting them to engage effectively with the necessary community agencies. The main aims of this study are to establish whether a specific model of case management, Critical Time Intervention (CTI), is effective in improving engagement with health and social care services, reducing mental health hospital admissions, reducing re-offending, and reducing time in prison among released adult male prisoners with severe and enduring mental illness (SMI). Who can participate? Adult male prisoners due for release, with severe and enduring mental illness, who are receiving secondary mental health care in prison. What does the study involve? The case management model Critical Time Intervention (CTI) is compared to treatment as usual (TAU) for prisoners with mental health problems due for release. Participants are randomly allocated to either the CTI or TAU group. What are the possible benefits and risks of participating? If allocated to receive CTI, participants may receive extra support upon that normally provided in the treatment as usual condition, i.e. having a case manager that follows them into the community after release. Where is the study run from? HM Prisons Manchester, Leeds and Brixton are the research sites. The Principal Investigator is based at the University of Manchester (UK). When is the study starting and how long is it expected to run for? The study began in January 2012 and will run until June 2015. Recruitment will run for 18 months from September 2012. Who is funding the study? The National Institute for Health Research: Service Delivery and Organisation Programme (UK). Who is the main contact? Prof. Jenny Shaw [email protected]

Critère d'inclusion

• Topic: Mental Health Research Network; Subtopic: Service Delivery; Disease: Severe Mental illness

Liens

• isrctn
• ictrp