Increasing Access to Work for Longer Term Community Mental Health Team (CMHT) clients: the impact of a work-placement training intervention
| ISRCTN | ISRCTN31813289 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN31813289 |
| Secondary identifying numbers | RDC01737 |
- Submission date
- 23/01/2004
- Registration date
- 23/01/2004
- Last edited
- 25/11/2010
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English Summary
Not provided at time of registration
Contact information
Prof Tom Burns
Scientific
Scientific
St George's Hospital Medical School
Jenner Wing
Cranmer Terrace
London
SW17 0RE
United Kingdom
| Phone | +44 (0)20 8682 6725 |
|---|---|
| tburns@sghms.ac.uk |
Study information
| Study design | Randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Not specified |
| Study type | Not Specified |
| Scientific title | |
| Study hypothesis | Structured daily activity, and paid work in particular, have been shown to have significant impact on the outcome of ensuring psychotic disorders. This study will examine the impact of a dedicated 'work placement co-ordinator' on the access to work opportunities of 1000 patients currently in the care of secondary mental health services in two inner London Boroughs. The intervention will be compared to standard care using random allocation between 10 sector teams. The intervention consists of a training package on work placement for the team members and on-going team access to a vocational counsellor for advice. Outcome will be measured by improvements in individual patient activity at one year. Patient predictors of response to the intervention will be sought. Improvement in work activity is of direct benefit to individual patients in terms of self esteem and in stemming clinical and social deterioration. It has also been shown to reduce carer burden, thereby addressing the NHS's commitment to the needs of families and carers. Work activity may also reduce relapse rate in the longer term and may save on inpatient bed pressure. The establishment of even a small number of patients in paid employment represents enormous savings in social security transfer payments. A simple generalisable model for work placement in the NHS will be developed. |
| Ethics approval(s) | Not provided at time of registration |
| Condition | Schizophrenia and other psychoses |
| Intervention | 1. Patients in the intervention group will receive three seminars and information packs covering local employment opportunities over the three succeeding weeks. There is no further scheduled contact of the CMHT with the work co-ordinator but team staff will be encouraged to seek advice on a case by case basis. 2. Control - no intervention i.e. standard care |
| Intervention type | Other |
| Primary outcome measure | Outcome will be assessed by recording the vocational status of all study subjects on an individual patient basis at one-year. Vocational status will be measured using 6 categories: 1. Unemployed/inactive 2. Other ata/education related activity 3. Education 4. Sheltered work 5. Voluntary work 6. Open employment. These 6 categories are comprehensive and clearly defined, but not mutually exclusive as part-time occupation is registered. An individual patient may be involved in, for example, education (3) and sheltered work (4) simultaneously. In these cases both activities will be recorded. Where there has been a change in vocational status, duration of employment activity will be recorded, and random interviews will check the accuracy of outcome data. Client attitude and satisfaction will be measured in a sample of patients who obtained work/occupation, concerning their participation in the daily activity. The views of clients who did receive the intervention will be compared to matched case controls of those who returned to work/occupation in the control group. |
| Secondary outcome measures | Not provided at time of registration |
| Overall study start date | 02/05/2000 |
| Overall study end date | 02/05/2001 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 1000 |
| Participant inclusion criteria | 1. Have been in contact with the CMHT for at least one year 2. Have been out of work/education for at least one year |
| Participant exclusion criteria | 1. Men over 65 2. Women over 60 |
| Recruitment start date | 02/05/2000 |
| Recruitment end date | 02/05/2001 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
St George's Hospital Medical School
London
SW17 0RE
United Kingdom
SW17 0RE
United Kingdom
Sponsor information
NHS R&D Regional Programme Register - Department of Health (UK)
Government
Government
The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom
| Phone | +44 (0)20 7307 2622 |
|---|---|
| dhmail@doh.gsi.org.uk | |
| Website | http://www.doh.gov.uk |
Funders
Funder type
Government
NHS Executive London (UK)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/08/2003 | Yes | No |
