Recovery Bridge Intervention for Mental Health Disorders

RW
SH
Overseen BySera Havrilla, MA
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: VA Office of Research and Development
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new program called Recovery Bridge, designed to help individuals transition smoothly from a psychiatric hospital stay back to community life. The goal is to reduce hospital readmissions and improve overall quality of life by offering support from Peer Specialists, who have lived experience with mental health issues. Individuals who have been in an inpatient psychiatric program and plan to return to community living might be a good fit for this trial. As an unphased trial, this study provides a unique opportunity to contribute to innovative mental health support strategies.

Do I have to stop taking my current medications for the trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What prior data suggests that the Recovery Bridge Intervention is safe for mental health patients?

Research has shown that programs like Recovery Bridge, which involve peer support, are generally safe and well-received. Studies indicate that peer support can help individuals reduce substance use, avoid relapses, and adhere to treatment plans. As a result, participants are more likely to persist in their recovery efforts. Peer support specialists often share personal experiences, fostering a caring and understanding environment. This approach has been linked to improved recovery outcomes without major safety concerns. Overall, evidence suggests that Recovery Bridge is safe for participants.12345

Why are researchers excited about this trial?

Recovery Bridge is unique because it offers a new approach to addressing mental health disorders through a structured support system rather than traditional medication or therapy alone. Unlike standard treatments that often rely on medication like antidepressants or cognitive behavioral therapy, Recovery Bridge focuses on creating a supportive framework that helps individuals bridge the gap between clinical care and community resources. Researchers are excited about this approach because it has the potential to enhance recovery by empowering patients with personalized support and resources, potentially leading to more sustainable long-term mental health improvements.

What evidence suggests that the Recovery Bridge Intervention is effective for mental health disorders?

Research has shown that programs like the Recovery Bridge, where individuals with similar experiences support each other, can aid those with severe mental illness. Studies have found that peer support leads to small but positive improvements in quality of life. Peer support significantly boosts recovery. One study measured the improvement at 0.29, indicating a noticeable benefit. This suggests that Recovery Bridge, led by peers, might help reduce hospital visits and ease participants' adjustment to community living.13678

Who Is on the Research Team?

RW

Richard W Goldberg, PhD

Principal Investigator

Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD

Are You a Good Fit for This Trial?

This trial is for adults over 18 who are transitioning from psychiatric hospitalization to community living. Participants must be planning to discharge into the community and enrolled in an inpatient program. They need access to a computer or phone post-discharge and must be able to give consent.

Inclusion Criteria

Enrolled in the inpatient program
Planned discharge to the community

Exclusion Criteria

I am unable to give consent by myself.
No access to either a computer or a telephone after discharge (as at least one of these will be needed should the Veteran and PS interventionist decide to continue to meet remotely)

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants engage in the Recovery Bridge intervention facilitated by Peer Specialists to aid transition from inpatient psychiatric hospitalization to community living

6 months
At least 3 intervention sessions, with one occurring inpatient

Follow-up

Participants are monitored for readmission rates and connection to outpatient care, as well as changes in recovery and quality of life measures

3 months

What Are the Treatments Tested in This Trial?

Interventions

  • Recovery Bridge
Trial Overview The 'Recovery Bridge' intervention, facilitated by Peer Specialists, aims to support individuals moving from psychiatric hospitals back into the community. The study will assess how well it works, its acceptability, and its effect on reducing readmissions and improving recovery and quality of life.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Recovery BridgeExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

VA Office of Research and Development

Lead Sponsor

Trials
1,691
Recruited
3,759,000+

Published Research Related to This Trial

The BRIDGES peer-led mental illness education program significantly improved self-perceived recovery and hopefulness in 428 individuals with serious mental illness, as measured by the Recovery Assessment Scale and State Hope Scale, compared to a control group.
Participants attended an average of five out of eight sessions, and the positive effects of the intervention were observed regardless of the severity of depressive symptoms, indicating its broad efficacy.
Randomized controlled trial of peer-led recovery education using Building Recovery of Individual Dreams and Goals through Education and Support (BRIDGES).Cook, JA., Steigman, P., Pickett, S., et al.[2016]
This study is the first of its kind in Germany to implement peer support interventions for individuals with severe mental illness on a large scale in a metropolitan area, aiming to improve recovery outcomes.
The research focuses on refining mental health interventions to reduce hospital re-admissions and enhance quality of life for patients and their families, aligning with the global trend towards recovery-oriented care.
[Peer Support for Individuals with Mental Health Problems and their Relatives - Background, Concept and Baseline Data].Mahlke, C., Heumann, K., Ruppelt, F., et al.[2015]
Peer support services, particularly those where peers are added to traditional services or deliver structured curricula, show moderate evidence of effectiveness in improving recovery outcomes for individuals with serious mental illnesses or co-occurring disorders, based on a review of 20 studies.
Peers were found to be more effective than professional staff in reducing inpatient use and enhancing recovery outcomes, although the effectiveness of peers in existing clinical roles was less consistent, indicating a need for more rigorous studies to clarify these roles.
Peer support services for individuals with serious mental illnesses: assessing the evidence.Chinman, M., George, P., Dougherty, RH., et al.[2014]

Citations

Recovery Bridge: A Peer Facilitated Intervention to Help ...The purpose of this proposal is to: 1) create a Peer Specialist facilitated intervention, called Recovery Bridge, designed to facilitate the ...
Effectiveness of peer-delivered interventions for severe mental ...For SMI, evidence from three high-quality superiority trials showed small positive effects favouring peer-delivered interventions for quality of life (SMD 0.24, ...
A bridge to recovery: an interpretative phenomenological ...The aim of this paper was to explore and understand how individual peer support specialists in Singapore perceive and make sense of their role.
The Effectiveness of Peer Support in Personal and Clinical ...The authors reviewed the effectiveness of peer support for both personal recovery and clinical recovery of adults with any mental illness and.
The effectiveness of peer support on the recovery and ...The RE model (SMD = 0.29, 95 % CI = 0.13 to 0.45, p-value = 0.0004) shows that peer support interventions significantly improved the recovery outcome compared ...
The effectiveness of peer support from a person with lived ...This systematic review aimed to understand the effectiveness of peer support for youth depression and anxiety (either primary or comorbid)
Systematizing peer recovery support services for ...A systematic review revealed that PRSS models contribute to reductions in substance use and relapse rates and improve treatment retention and ...
Bridge Over Troubled Waters? Certified Recovery ...Interviewees identified CRS's lived experience, advocacy, availability, empathy, and family outreach as key mechanisms of recovery success.
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