Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release
Abstract 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 prob...
Main Authors: | , , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2017-07-01
|
Series: | Pilot and Feasibility Studies |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s40814-017-0163-6 |
id |
doaj-865fcdd8f9604e51a853d312941fcfc3 |
---|---|
record_format |
Article |
spelling |
doaj-865fcdd8f9604e51a853d312941fcfc32020-11-24T21:09:02ZengBMCPilot and Feasibility Studies2055-57842017-07-014111010.1186/s40814-017-0163-6Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after releaseCharlotte Lennox0Tim Kirkpatrick1Rod S. Taylor2Roxanne Todd3Clare Greenwood4Mark Haddad5Caroline Stevenson6Amy Stewart7Deborah Shenton8Lauren Carroll9Sarah L. Brand10Cath Quinn11Rob Anderson12Mike Maguire13Tirril Harris14Jennifer Shaw15Richard Byng16Division of Psychology and Mental Health, The University of ManchesterPlymouth University Peninsula Schools of Medicine and DentistryInstitute of Health Research, University of Exeter Medical School, University of ExeterThe Medical School, The University of SheffieldThe Medical School, The University of SheffieldCentre for Mental Health Research, School of Health Sciences, City, University of LondonDivision of Psychology and Mental Health, The University of ManchesterPlymouth University Peninsula Schools of Medicine and DentistryPlymouth University Peninsula Schools of Medicine and DentistryPlymouth University Peninsula Schools of Medicine and DentistryPlymouth University Peninsula Schools of Medicine and DentistryPlymouth University Peninsula Schools of Medicine and DentistryInstitute of Health Research, University of Exeter Medical School, University of ExeterCentre for Criminology, University of South WalesKing’s College LondonDivision of Psychology and Mental Health, The University of ManchesterPlymouth University Peninsula Schools of Medicine and DentistryAbstract 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.http://link.springer.com/article/10.1186/s40814-017-0163-6PrisonOffenderMental healthPilotRandomised controlled trial |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Charlotte Lennox Tim Kirkpatrick Rod S. Taylor Roxanne Todd Clare Greenwood Mark Haddad Caroline Stevenson Amy Stewart Deborah Shenton Lauren Carroll Sarah L. Brand Cath Quinn Rob Anderson Mike Maguire Tirril Harris Jennifer Shaw Richard Byng |
spellingShingle |
Charlotte Lennox Tim Kirkpatrick Rod S. Taylor Roxanne Todd Clare Greenwood Mark Haddad Caroline Stevenson Amy Stewart Deborah Shenton Lauren Carroll Sarah L. Brand Cath Quinn Rob Anderson Mike Maguire Tirril Harris Jennifer Shaw Richard Byng Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release Pilot and Feasibility Studies Prison Offender Mental health Pilot Randomised controlled trial |
author_facet |
Charlotte Lennox Tim Kirkpatrick Rod S. Taylor Roxanne Todd Clare Greenwood Mark Haddad Caroline Stevenson Amy Stewart Deborah Shenton Lauren Carroll Sarah L. Brand Cath Quinn Rob Anderson Mike Maguire Tirril Harris Jennifer Shaw Richard Byng |
author_sort |
Charlotte Lennox |
title |
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_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_sort |
pilot randomised controlled trial of the engager collaborative care intervention for prisoners with common mental health problems, near to and after release |
publisher |
BMC |
series |
Pilot and Feasibility Studies |
issn |
2055-5784 |
publishDate |
2017-07-01 |
description |
Abstract 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. |
topic |
Prison Offender Mental health Pilot Randomised controlled trial |
url |
http://link.springer.com/article/10.1186/s40814-017-0163-6 |
work_keys_str_mv |
AT charlottelennox pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT timkirkpatrick pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT rodstaylor pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT roxannetodd pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT claregreenwood pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT markhaddad pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT carolinestevenson pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT amystewart pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT deborahshenton pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT laurencarroll pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT sarahlbrand pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT cathquinn pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT robanderson pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT mikemaguire pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT tirrilharris pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT jennifershaw pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease AT richardbyng pilotrandomisedcontrolledtrialoftheengagercollaborativecareinterventionforprisonerswithcommonmentalhealthproblemsneartoandafterrelease |
_version_ |
1716758813714939904 |