Journal article

The CORE study—An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized-controlled trial

VJ Palmer, P Chondros, J Furler, H Herrman, D Pierce, K Godbee, K Densley, JM Gunn

Health Expectations | WILEY | Published : 2021

Abstract

Background: Mental health policies outline the need for codesign of services and quality improvement in partnership with service users and staff (and sometimes carers), and yet, evidence of systematic implementation and the impacts on healthcare outcomes is limited. Objective: The aim of this study was to test whether an adapted mental health experience codesign intervention to improve recovery-orientation of services led to greater psychosocial recovery outcomes for service users. Design: A stepped wedge cluster randomized-controlled trial was conducted. Setting and Participants: Four Mental Health Community Support Services providers, 287 people living with severe mental illnesses, 61 care..

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Grants

Awarded by Mental Illness Research Fund


Funding Acknowledgements

The CORE study was funded by the Mental Illness Research Fund (MIRF: 28) and the Psychiatric Illness and Intellectual Disability Donations Trust Fund (PIIDDTF). The Mental Illness Research Fund aimed to support collaborative research into mental illness that may lead to better treatment and recovery outcomes for Victorians with mental illness and their families and carers. The funding body had no role in the study design, data collection, analysis or interpretation, or in the writing of the manuscript. The corresponding author had full access to all the data in the study and final responsibility for the decision to submit for publication. The chief investigators for this study were Associate Professor Victoria J. Palmer, Prof. Jane M. Gunn, Associate Professor John Furler, Associate Professor David Pierce, Professor Helen Herrman, Dr. Donella Piper, Dr. Rosemary Callander, Mr. Wayne Weavell and Professor Rick Iedema. The advisory and expert data monitoring committee members were Prof. Judith Cook, Associate Professor Rob Whitley, Dr. Hilary Boyd, Dr. Lynn Maher, Professor John Carlin and Professor Glenn Robert who met biannually to provide advice and to monitor the quality of data and safety of participants. The CORE study team thank the four service providers of psychosocial recovery services Mind Australia, Cohealth, EACH (Eastern Access Community Health) and Mentis Assist for their support and participation as partners in the study. The team acknowledges the Victorian Mental Illness Awareness Council and Tandem representing Victorian mental health carers as the original developers of mental health experience codesign and their support in the implementation and conduct of the trial. The team thanks Associate Professor Patty Chondros for leading biostatistical support, Ms. Konstancja Densley for data management, Ms. Roxanne Kritharidis for intervention coordination, Ms. Kali Godbee for trial coordination and Dr. Lauralie Richard for leading the engagement model development for the trial. The CORE team expresses deep gratitude to all the people living with severe mental illnesses, carers and staff who participated in codesign and the study overall.