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ISRCTN
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ISRCTN31813289
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ClinicalTrials.gov identifier
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Public title
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Increasing Access to Work for Longer Term Community Mental Health Team (CMHT) clients: the impact of a work-placement training intervention
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Scientific title
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Acronym
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N/A
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Serial number at source
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RDC01737
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Study hypothesis
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Structured daily activity, and paid work in particular, have been shown to have significant impact on the outcome of ensuring psychotic disorders. This study will examine the impact of a dedicated 'work placement co-ordinator' on the access to work opportunities of 1000 patients currently in the care of secondary mental health services in two inner London Boroughs. The intervention will be compared to standard care using random allocation between 10 sector teams. The intervention consists of a training package on work placement for the team members and on-going team access to a vocational counsellor for advice. Outcome will be measured by improvements in individual patient activity at one year. Patient predictors of response to the intervention will be sought. Improvement in work activity is of direct benefit to individual patients in terms of self esteem and in stemming clinical and social deterioration. It has also been shown to reduce carer burden, thereby addressing the NHS's commitment to the needs of families and carers. Work activity may also reduce relapse rate in the longer term and may save on inpatient bed pressure. The establishment of even a small number of patients in paid employment represents enormous savings in social security transfer payments. A simple generalisable model for work placement in the NHS will be developed.
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Lay summary
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Ethics approval
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Not provided at time of registration
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Study design
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Randomised controlled trial
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Countries of recruitment
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United Kingdom
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Disease/condition/study domain
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Schizophrenia and other psychoses
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Participants - inclusion criteria
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1. Have been in contact with the CMHT for at least one year
2. Have been out of work/education for at least one year
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Participants - exclusion criteria
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1. Men over 65
2. Women over 60
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Anticipated start date
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02/05/2000
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Anticipated end date
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02/05/2001
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Status of trial
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Completed |
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Patient information material
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Target number of participants
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1000
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Interventions
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1. Patients in the intervention group will receive three seminars and information packs covering local employment opportunities over the three succeeding weeks. There is no further scheduled contact of the CMHT with the work co-ordinator but team staff will be encouraged to seek advice on a case by case basis.
2. Control - no intervention i.e. standard care
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Primary outcome measure(s)
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Outcome will be assessed by recording the vocational status of all study subjects on an individual patient basis at one-year. Vocational status will be measured using 6 categories:
1. Unemployed/inactive
2. Other ata/education related activity
3. Education
4. Sheltered work
5. Voluntary work
6. Open employment.
These 6 categories are comprehensive and clearly defined, but not mutually exclusive as part-time occupation is registered. An individual patient may be involved in, for example, education (3) and sheltered work (4) simultaneously. In these cases both activities will be recorded.
Where there has been a change in vocational status, duration of employment activity will be recorded, and random interviews will check the accuracy of outcome data.
Client attitude and satisfaction will be measured in a sample of patients who obtained work/occupation, concerning their participation in the daily activity. The views of clients who did receive the intervention will be compared to matched case controls of those who returned to work/occupation in the control group.
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Secondary outcome measure(s)
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Not provided at time of registration
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Sources of funding
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NHS Executive London (UK)
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Trial website
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Publications
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2003 results in http://www.ncbi.nlm.nih.gov/pubmed/12908647
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Contact name
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Prof
Tom
Burns
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Address
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St George's Hospital Medical School
Jenner Wing
Cranmer Terrace
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City/town
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London
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Zip/Postcode
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SW17 0RE
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Country
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United Kingdom
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Tel
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+44 (0)20 8682 6725
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Fax
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+44 (0)20 8682 6725
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Email
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tburns@sghms.ac.uk
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Sponsor
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NHS R&D Regional Programme Register - Department of Health (UK)
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Address
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The Department of Health
Richmond House
79 Whitehall
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City/town
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London
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Zip/Postcode
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SW1A 2NL
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Country
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United Kingdom
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Tel
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+44 (0)20 7307 2622
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Fax
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+44 (0)20 7307 2623
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Email
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dhmail@doh.gsi.org.uk
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Sponsor website:
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http://www.doh.gov.uk
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Date applied
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23/01/2004
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Last edited
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25/11/2010
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Date ISRCTN assigned
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23/01/2004
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