ImprovE Y2 - Involving involuntarily hospitalised patients in care.
Research type
Research Study
Full title
An intervention to facilitate patient involvement in decision making during coercive care.
IRAS ID
209917
Contact name
Domenico Giacco
Contact email
Sponsor organisation
East London NHS Foundation Trust
Duration of Study in the UK
0 years, 6 months, 0 days
Research summary
The aim of this research is to assess how many patients are able to participate in an intervention session within their first week of involuntary admission as well as what are the barriers that could arise during that week
We will carry out:
A series of 12 case studies in three hospital wards at East London NHS Foundation Trust. The intervention will be introduced as standard practice, in line with the Mental Health Act 1983 (revised 2015): Code of Practice. According to the Code of Practice, patients should, as much as possible, be involved in the decisions that are made about their care. The present intervention follows this principle by promoting patient involvement in decision making and providing a structure for the decision making process. The sessions will be delivered by a clinical psychologist, a nurse and a psychiatrist, to four patients each. All clinicians will be trained based on a manual developed for this intervention.
The intervention will consist of the clinician showing the patient a list of items that are thought to be items that patients who are involuntarily admitted in hospital often want to discuss. They will then be asked to choose the items that are most important to them. These items will then be discussed and an action plan based on that discussion will be developed.
If patients agree their carer can be present during the intervention session.After the intervention, patients and clinicians will be asked to complete quantitative outcome measures. Patients will be asked to complete one month follow-up outcome measures through phone interviews.
We will aim to interview all the patients and clinicians participating in the intervention, i.e. 12 patients, 3 clinicians and up to 5 carers, in order to evaluate the intervention. This will help us explore experiences of delivering/receiving the intervention and potential barriers.
REC name
London - Fulham Research Ethics Committee
REC reference
16/LO/1835
Date of REC Opinion
3 Nov 2016
REC opinion
Favourable Opinion