2022
DOI: 10.1016/s2215-0366(21)00398-9
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Peer support for discharge from inpatient mental health care versus care as usual in England (ENRICH): a parallel, two-group, individually randomised controlled trial

Abstract: Summary Background High numbers of patients discharged from psychiatric hospital care are readmitted within a year. Peer support for discharge has been suggested as an approach to reducing readmission post-discharge. Implementation has been called for in policy, however, evidence of effectiveness from large rigorous trials is missing. We aimed to establish whether peer support for discharge reduces readmissions in the year post-discharge. Methods We report … Show more

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Cited by 21 publications
(41 citation statements)
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References 35 publications
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“…The included studies were published between 1995 and 2022. Most were conducted in the UK (10 studies 21,23,38,39,41,51,61,67,69,71 ) or other European countries (8 studies 18,26,42,48,49,65,66,70 ); 6 studies 43,44,54,55,59,60 were undertaken in China, 7 studies 22,24,27,46,47,52,64 were undertaken in Canada, 6 studies 38,40,45,50,58,68 were undertaken in the US, and 1 study each was conducted in Singapore, 62 Columbia, 63 Australia, 53 and Zambia. 57 Fourteen studies 24,[38][39][40][41][42][43][44][45...…”
Section: Systematic Reviewmentioning
confidence: 99%
See 2 more Smart Citations
“…The included studies were published between 1995 and 2022. Most were conducted in the UK (10 studies 21,23,38,39,41,51,61,67,69,71 ) or other European countries (8 studies 18,26,42,48,49,65,66,70 ); 6 studies 43,44,54,55,59,60 were undertaken in China, 7 studies 22,24,27,46,47,52,64 were undertaken in Canada, 6 studies 38,40,45,50,58,68 were undertaken in the US, and 1 study each was conducted in Singapore, 62 Columbia, 63 Australia, 53 and Zambia. 57 Fourteen studies 24,[38][39][40][41][42][43][44][45...…”
Section: Systematic Reviewmentioning
confidence: 99%
“…57 Fourteen studies 24,[38][39][40][41][42][43][44][45][46][47][48][49]72 had sample sizes of fewer than 100 participants, 18 studies 18,22,27,[50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] had samples of 100 to 200 participants, 7 studies 23,26,[65][66][67][68][69] included 200 to 1000 participants, and 2 studies 70,71 had sample sizes of more than 1000 participants. Studied populations included 7 studies 43,47,49,50,[53][54][55] of caregivers, 9 studies of people with physical illnesses (6 on heart disease,…”
Section: Systematic Reviewmentioning
confidence: 99%
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“…Around the world, committees addressing policy development, research funding and clinical guidelines (eg, National Institute for Health and Care Excellence guidelines in the UK) include people with lived experience. Training courses for mental healthcare professionals have lived experience reference groups contributing to curricula, and in mental health services, people are employed at a strategic level as peer leaders, members of patient/carer councils, and increasingly in the UK as peer support workers (PSWs), supported by growing evidence (eg, see Gillard et al 6), and a competency framework and national training programme 7. However, evidence of the impacts of lived expertise support on patient outcomes is still limited,8 9 and mechanisms of change are poorly understood.…”
Section: Introductionmentioning
confidence: 99%
“…Peer support groups may also provide a good t in LMIC settings where family and sociallyoriented mechanisms of recovery are prominent. 4 Whilst there is little evidence to date that peer support approaches provide greater bene ts than usual care in reducing hospital readmission or relapse [11][12][13][14] , there is some evidence that group peer support interventions are effective in supporting personal recovery in people with schizophrenia, depression and bipolar disorder. 14 However there is an absence of high quality evidence for peer support approaches for people with psychosis in LMIC.…”
mentioning
confidence: 99%