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A crisis planning and monitoring intervention to reduce compulsory hospital readmissions (FINCH study): protocol for a randomised controlled feasibility study

Research output: Contribution to Journal/Magazine › Journal article › peer-review

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A crisis planning and monitoring intervention to reduce compulsory hospital readmissions (FINCH study): protocol for a randomised controlled feasibility study. / Johnson, Sonia; Birken, Mary; Nyikavaranda, Patrick et al.
In: Pilot and Feasibility Studies, Vol. 10, No. 1, 35, 20.02.2024.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Johnson, S, Birken, M, Nyikavaranda, P, Kular, A, Gafoor, R, Parkinson, J, Hutchings-Hay, C, Gant, T, Molai, J, Rivera, J, Fenwick, J, Bendall, C, Blakley, L, Bacarese-Hamilton, T, White, VC, Holden, MK, Seale, J, Hardy, J, Fraser, KL, Mitchell, L, Lay, B, Mbeah-Bankas, H, McCrone, P, Freemantle, N, Wood, L, Lobban, F & Lloyd-Evans, B 2024, 'A crisis planning and monitoring intervention to reduce compulsory hospital readmissions (FINCH study): protocol for a randomised controlled feasibility study', Pilot and Feasibility Studies, vol. 10, no. 1, 35. https://doi.org/10.1186/s40814-024-01453-z

APA

Johnson, S., Birken, M., Nyikavaranda, P., Kular, A., Gafoor, R., Parkinson, J., Hutchings-Hay, C., Gant, T., Molai, J., Rivera, J., Fenwick, J., Bendall, C., Blakley, L., Bacarese-Hamilton, T., White, V. C., Holden, M. K., Seale, J., Hardy, J., Fraser, K. L., ... Lloyd-Evans, B. (2024). A crisis planning and monitoring intervention to reduce compulsory hospital readmissions (FINCH study): protocol for a randomised controlled feasibility study. Pilot and Feasibility Studies, 10(1), Article 35. https://doi.org/10.1186/s40814-024-01453-z

Vancouver

Johnson S, Birken M, Nyikavaranda P, Kular A, Gafoor R, Parkinson J et al. A crisis planning and monitoring intervention to reduce compulsory hospital readmissions (FINCH study): protocol for a randomised controlled feasibility study. Pilot and Feasibility Studies. 2024 Feb 20;10(1):35. doi: 10.1186/s40814-024-01453-z

Author

Johnson, Sonia ; Birken, Mary ; Nyikavaranda, Patrick et al. / A crisis planning and monitoring intervention to reduce compulsory hospital readmissions (FINCH study) : protocol for a randomised controlled feasibility study. In: Pilot and Feasibility Studies. 2024 ; Vol. 10, No. 1.

Bibtex

@article{67c044a003304d3cb97f9140c688ecbf,
title = "A crisis planning and monitoring intervention to reduce compulsory hospital readmissions (FINCH study): protocol for a randomised controlled feasibility study",
abstract = "Background: Rates of compulsory (also known as involuntary) detention under mental health legislation have been rising over several decades in countries including England. Avoiding such detentions should be a high priority given their potentially traumatic nature and departure from usual ethical principles of consent and collaboration. Those who have been detained previously are at high risk of being detained again, and thus a priority group for preventive interventions. In a very sparse literature, interventions based on crisis planning emerge as having more supporting evidence than other approaches to preventing compulsory detention. Method: We have adapted and manualised an intervention previously trialled in Z{\"u}rich Switzerland, aimed at reducing future compulsory detentions among people being discharged following a psychiatric admission that has included a period of compulsory detention. A co-production group including people with relevant lived and clinical experience has co-designed the adaptations to the intervention, drawing on evidence on crisis planning and self-management and on qualitative interviews with service users and clinicians. We will conduct a randomised controlled feasibility trial of the intervention, randomising 80 participants to either the intervention in addition to usual care, or usual care only. Feasibility and acceptability of the intervention and trial procedures will be assessed through process evaluation (including rates of randomisation, recruitment, and retention) and qualitative interviews. We will also assess and report on planned trial outcomes. The planned primary outcome for a full trial is repeat compulsory detention within one year of randomisation, and secondary outcomes include compulsory detention within 2 years, and symptoms, service satisfaction, self-rated recovery, self-management confidence, and service engagement. A health economic evaluation is also included. Discussion: This feasibility study, and any subsequent full trial, will add to a currently limited literature on interventions to prevent involuntary detention, a goal valued highly by service users, carers, clinicians, and policymakers. There are significant potential impediments to recruiting and retaining this group, whose experiences of mental health care have often been negative and traumatising, and who are at high risk of disengagement. Trial registration: ISRCTN, ISRCTN11627644. Registered 25th May 2022, https://www.isrctn.com/ISRCTN11627644.",
keywords = "Involuntary admission, Self-management, Co-production, Compulsory detention, Crisis planning",
author = "Sonia Johnson and Mary Birken and Patrick Nyikavaranda and Ariana Kular and Rafael Gafoor and Jordan Parkinson and Chloe Hutchings-Hay and Thomas Gant and Jazmin Molai and Jessica Rivera and James Fenwick and Caroline Bendall and Louise Blakley and Theresa Bacarese-Hamilton and White, {Valerie Christina} and Holden, {Mark Keith} and Janet Seale and Jackie Hardy and Fraser, {Kathleen Lindsay} and Lizzie Mitchell and Barbara Lay and Henrietta Mbeah-Bankas and Paul McCrone and Nick Freemantle and Lisa Wood and Fiona Lobban and Brynmor Lloyd-Evans",
year = "2024",
month = feb,
day = "20",
doi = "10.1186/s40814-024-01453-z",
language = "English",
volume = "10",
journal = "Pilot and Feasibility Studies",
issn = "2055-5784",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - A crisis planning and monitoring intervention to reduce compulsory hospital readmissions (FINCH study)

T2 - protocol for a randomised controlled feasibility study

AU - Johnson, Sonia

AU - Birken, Mary

AU - Nyikavaranda, Patrick

AU - Kular, Ariana

AU - Gafoor, Rafael

AU - Parkinson, Jordan

AU - Hutchings-Hay, Chloe

AU - Gant, Thomas

AU - Molai, Jazmin

AU - Rivera, Jessica

AU - Fenwick, James

AU - Bendall, Caroline

AU - Blakley, Louise

AU - Bacarese-Hamilton, Theresa

AU - White, Valerie Christina

AU - Holden, Mark Keith

AU - Seale, Janet

AU - Hardy, Jackie

AU - Fraser, Kathleen Lindsay

AU - Mitchell, Lizzie

AU - Lay, Barbara

AU - Mbeah-Bankas, Henrietta

AU - McCrone, Paul

AU - Freemantle, Nick

AU - Wood, Lisa

AU - Lobban, Fiona

AU - Lloyd-Evans, Brynmor

PY - 2024/2/20

Y1 - 2024/2/20

N2 - Background: Rates of compulsory (also known as involuntary) detention under mental health legislation have been rising over several decades in countries including England. Avoiding such detentions should be a high priority given their potentially traumatic nature and departure from usual ethical principles of consent and collaboration. Those who have been detained previously are at high risk of being detained again, and thus a priority group for preventive interventions. In a very sparse literature, interventions based on crisis planning emerge as having more supporting evidence than other approaches to preventing compulsory detention. Method: We have adapted and manualised an intervention previously trialled in Zürich Switzerland, aimed at reducing future compulsory detentions among people being discharged following a psychiatric admission that has included a period of compulsory detention. A co-production group including people with relevant lived and clinical experience has co-designed the adaptations to the intervention, drawing on evidence on crisis planning and self-management and on qualitative interviews with service users and clinicians. We will conduct a randomised controlled feasibility trial of the intervention, randomising 80 participants to either the intervention in addition to usual care, or usual care only. Feasibility and acceptability of the intervention and trial procedures will be assessed through process evaluation (including rates of randomisation, recruitment, and retention) and qualitative interviews. We will also assess and report on planned trial outcomes. The planned primary outcome for a full trial is repeat compulsory detention within one year of randomisation, and secondary outcomes include compulsory detention within 2 years, and symptoms, service satisfaction, self-rated recovery, self-management confidence, and service engagement. A health economic evaluation is also included. Discussion: This feasibility study, and any subsequent full trial, will add to a currently limited literature on interventions to prevent involuntary detention, a goal valued highly by service users, carers, clinicians, and policymakers. There are significant potential impediments to recruiting and retaining this group, whose experiences of mental health care have often been negative and traumatising, and who are at high risk of disengagement. Trial registration: ISRCTN, ISRCTN11627644. Registered 25th May 2022, https://www.isrctn.com/ISRCTN11627644.

AB - Background: Rates of compulsory (also known as involuntary) detention under mental health legislation have been rising over several decades in countries including England. Avoiding such detentions should be a high priority given their potentially traumatic nature and departure from usual ethical principles of consent and collaboration. Those who have been detained previously are at high risk of being detained again, and thus a priority group for preventive interventions. In a very sparse literature, interventions based on crisis planning emerge as having more supporting evidence than other approaches to preventing compulsory detention. Method: We have adapted and manualised an intervention previously trialled in Zürich Switzerland, aimed at reducing future compulsory detentions among people being discharged following a psychiatric admission that has included a period of compulsory detention. A co-production group including people with relevant lived and clinical experience has co-designed the adaptations to the intervention, drawing on evidence on crisis planning and self-management and on qualitative interviews with service users and clinicians. We will conduct a randomised controlled feasibility trial of the intervention, randomising 80 participants to either the intervention in addition to usual care, or usual care only. Feasibility and acceptability of the intervention and trial procedures will be assessed through process evaluation (including rates of randomisation, recruitment, and retention) and qualitative interviews. We will also assess and report on planned trial outcomes. The planned primary outcome for a full trial is repeat compulsory detention within one year of randomisation, and secondary outcomes include compulsory detention within 2 years, and symptoms, service satisfaction, self-rated recovery, self-management confidence, and service engagement. A health economic evaluation is also included. Discussion: This feasibility study, and any subsequent full trial, will add to a currently limited literature on interventions to prevent involuntary detention, a goal valued highly by service users, carers, clinicians, and policymakers. There are significant potential impediments to recruiting and retaining this group, whose experiences of mental health care have often been negative and traumatising, and who are at high risk of disengagement. Trial registration: ISRCTN, ISRCTN11627644. Registered 25th May 2022, https://www.isrctn.com/ISRCTN11627644.

KW - Involuntary admission

KW - Self-management

KW - Co-production

KW - Compulsory detention

KW - Crisis planning

U2 - 10.1186/s40814-024-01453-z

DO - 10.1186/s40814-024-01453-z

M3 - Journal article

VL - 10

JO - Pilot and Feasibility Studies

JF - Pilot and Feasibility Studies

SN - 2055-5784

IS - 1

M1 - 35

ER -