💬In plain words
What the trial is, and whether it could suit you
Despite commendable progress in developing mental health systems in low-and-middle income countries, critical gaps remain, particularly the development of community-based systems of support for people living with severe mental illness (SMIs). This application will pilot a co-developed health system strengthening intervention programme in a South African district in order to determine its feasibility, appropriateness and limited efficacy in reducing readmission following discharge from acute psychiatric hospitalization. By generating preliminary data on the real-world implementation of a co-developed programme in low-resource contexts in South Africa, this application seeks to build on an existing foundation of research partnerships and local government collaboration to develop a transitional support intervention that could yield significant and tangible impacts on people living with SMIs
Sign in to get the eligibility rules as simple questions to take to your doctor.
📋 Eligibility rules (as published)
Service user inclusion criteria:
* Adults (aged 18 years and above);
* Being admitted to the psychiatric ward of a hospital for observation and treatment due to an acute psychiatric event, based on ICD diagnosis on patient charts according to the following criteria:
* F20-29 including schizophrenia, delusional disorders, schizotypal disorders, acute polymorph psychotic disorders, schizoaffective disorders
* F30-39 Mood \[affective\] disorders with psychoses
* F30.2 Mania with psychotic symptoms
* F31.2 Bipolar affective disorder, current episode manic with psychotic symptoms
* F31.5 Bipolar affective disorder, current episode severe depression with psychotic symptoms
* F32.3 Severe depressive episode with psychotic symptoms
* F33.3 Recurrent depressive disorder, current episode severe with psychotic symptoms
* Determined by the attending psychiatrist to be discharged into community settings following appropriate recovery from the psychiatric event;
* Willing and able to participate in the intervention programme
* Resides with a caregiver (which could be a family member or member of the household).
* Resides within the geographic boundaries of uMgungundlovu
Service user exclusion criteria:
* Under 18 years of age
* Are indicated by their chart history to have the following conditions:
* Active suicidal ideation
* Substance abuse or dependence as primary diagnosed psychiatric condition
* Personality disorders
* Serious cognitive or other sensorial impairment likely to preclude informed consent and reliable assessment
* Does not reside with a caregiver
* Does not reside within the geographic boundaries of uMgungundlovu
Caregiver inclusion criteria
* Adults (aged 18 years and above)
* Willing and able to participate in the intervention programme
* Resides with a caregiver (which could be a family member or member of the household).
* Resides within the geographic boundaries of uMgungundlovu
Caregiver exclusion criteria
* Adults (aged 18 years and above)
* Willing and able to participate in the intervention programme
* Resides with a caregiver (which could be a family member or member of the household).
* Resides within the geographic boundaries of uMgungundlovu
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