Study protocol: The development of a pilot study employing a randomised controlled design to investigate the feasibility and effects of a peer support program following discharge from a specialist first-episode psychosis treatment centre

Robinson, Jo; Bruxner, Annie; Harrigan, Susy; Bendall, Sarah; Killackey, Eoin; Tonin, Vittoria; Monson, Katherine; Thurley, Melissa; Francey, Shona; Yung, Alison R.
January 2010
BMC Psychiatry;2010, Vol. 10, p37
Academic Journal
Background: Young people with first-episode psychosis (FEP) are at risk of a range of negative outcomes. Specialist FEP services have been developed to provide comprehensive, multi-disciplinary treatment. However, these services are often available for a restricted period and the services that young people may be transferred to are less comprehensive. This represents a risk of drop out from treatment services in a group already considered to be at risk of disengagement. Peer support groups have been shown to improve social relationships among people with psychosis however individual peer support programs have not been tested on young people with first-episode psychosis; nor have they been tested at the point of discharge from services. Methods/design: The study is an 18-month randomised controlled trial being conducted at Orygen Youth Health Research Centre in Melbourne, Australia. The aim of the study is to test the feasibility and effects of a 6-month peer support intervention delivered to young people with FEP over the period of discharge. Participants are young people aged 15-24 who are being discharged from a specialist first-episode psychosis treatment centre. There is a 6-month recruitment period. The intervention comprises two hours of contact per fortnight during which peer support workers can assist participants to engage with their new services, or other social and community activities. Participants will be assessed at baseline and post intervention (6 months). Discussion: This paper describes the development of a randomised-controlled trial which aims to pilot a peer support program among young people who are being discharged from a specialist FEP treatment centre. If effective, the intervention could lead to benefits not only for participants over the discharge period, but for peer support workers as well. Trial registration: The study was registered with the Australian New Zealand Clinical Trials Registry; number: ACTRN12610000241033.


Related Articles

  • Future management options. Barker, Andy; Benbow, Susan // Pulse;4/26/2004, Vol. 64 Issue 17, p46 

    Discusses management options for behavioral and psychiatric symptoms in dementia in elder patients in Great Britain. Management of older patients already taking olanzapine or risperidone; Treatment of people who have dementia and psychosis, such as paranoid delusions.

  • Porencephaly and psychosis: a case report and review of the literature. Douzenis, Athanassios; Rizos, Emmanouil N.; Papadopoulou, Athanasia; Papathanasiou, Matilda; Lykouras, Lefteris // BMC Psychiatry;2010, Vol. 10, p19 

    Background: Malformations of the cerebral cortex are often associated with developmental delay and psychoses. Porencephaly is a rare congenital disorder of central nervous system involving a cyst or a cavity filled with cerebrospinal fluid, in brain's parenchyma. Case presentation: We present a...

  • Affective and Cognitive Verbal Theory of Mind in Schizophrenia: Results From a Novel Paradigm. Okruszek, Łukasz; Piejka, Aleksandra; Szczepocka, Ewa; Wysokiński, Adam; Pluta, Agnieszka // Journal of the International Neuropsychological Society;Mar2018, Vol. 24 Issue 3, p305 

    Objectives: Impairments of Theory of Mind (ToM) have been repeatedly demonstrated in patients with schizophrenia (SCZ). However, only a handful of studies have explored deficits in affective and cognitive subcomponents of ToM. Thus, this study aims to examine affective and cognitive ToM...

  • Fend off dementia by staying calm.  // Research Review (International Council on Active Aging);1/28/2009, Vol. 9 Issue 4, p3 

    The article discusses research on the increasing number of people with dementia. According to the study published in a 2005 issue of "The Lancet," people who were socially inactive but calm have fifty percent less chance of developing the condition. People involved in the study have various...

  • Treating psychosis: is there more to early intervention than intervening early? Malla, Ashok M; Norman, Ross MG; Malla, A M; Norman, R M // Canadian Journal of Psychiatry;Sep2001, Vol. 46 Issue 7, p645 

    While the possibility of early intervention following the initial onset of psychotic disorders such as schizophrenia is an exciting development, a closer examination of the nature and content, as well as the timing, of treatment is required for this new approach to be successful. Modification...

  • Leisure Activities in Late Life in Relation to Dementia Risk: Principal Component Analysis. Paillard-Borg, Stéphanie; Fratiglioni, Laura; Winblad, Bengt; Hui-Xin Wang // Dementia & Geriatric Cognitive Disorders;2009, Vol. 28 Issue 2, p136 

    Aims: To explore the underlying dimensions of a set of interrelated lifestyle factors and test the hypothesis that an active lifestyle may protect against dementia. Methods: The study population consisted of 776 participants aged ≥75 years who were dementia-free at both baseline and the...

  • Delay in starting clozapine and treatment guidelines. Sharma, Akhilesh; Grover, Sandeep; Howes, Oliver D.; Taylor, David // British Journal of Psychiatry;Feb2013, Vol. 202 Issue 2, p154 

    A letter to the editor and a reply by the author to the article "Adherence to Treatment Guidelines in Clinical Practice: Study of Antipsychotic Treatment Prior to Clozapine Initiation," that was published in a 2012 issue.

  • Author's reply. McGorry, P. // British Journal of Psychiatry;May99, Vol. 174, p461 

    A letter to the editor is presented as a response to a letter on the treatment options for early psychosis.

  • Patrones de tratamiento farmacológico para el episodio maníaco en la práctica clínica. Resultados de la muestra española en el estudio EMBLEM. Montoya, A.; Sánchez-Toledo, J. Pérez; Gilaberte, I.; González-Pinto, A.; Haro, J. M.; Vieta, E.; Tohen, M. // Actas Espanolas de Psiquiatria;sep2007, Vol. 35 Issue 5, p315 

    Introduction. Although treatment for mania has been studied extensively in randomized clinical trials, there are few data that address how these patients are truly managed in clinical, functional, and economic terms in the psychiatric practice in Spain. Objective. To determine prescribing...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics