Critical time Intervention for Severely mentally ill Prisoners (CrISP): a randomised controlled trial

作者：Jenny J. Shaw, Sarah Conover, Dan Herman, Manuela Jarrett, Morven Leese, Paul McCrone, Caroline Murphy, Jane Senior, Ezra Susser, Graham Thornicroft, Nat M. J. Wright, Dawn Edge, Richard A Emsley, Charlotte Lennox, Alyson Williams, Henry Cust, Gareth Hopkin, Caroline S. Stevenson · 发表于：Health Services and Delivery Research · 年份：2017 · DOI：10.3310/hsdr05080 · 被引用次数：55 · 研究领域：Schizophrenia research and treatment、Psychiatric care and mental health services、Psychopathy, Forensic Psychiatry, Sexual Offending

Background The transition from prison to community is difficult for prisoners with mental illness. Critical time intervention (CTI) is designed to provide intensive support to meet health, social care and resettlement needs through close working between client and key worker pre, and up to 6 weeks post, release. Objectives To establish whether or not CTI is effective in (1) improving engagement of discharged male prisoners who have mental illness with community mental health teams (CMHTs) and (2) providing practical support with housing, finance and re-establishing social networks. Trial design A multicentre, parallel-group randomised controlled trial, with follow-up at 6 weeks and at 6 and 12 months. A subset of prisoners and case managers participated in a complementary qualitative study. Setting Eight English prisons. Participants One hundred and fifty adult male prisoners, convicted or remanded, cared for by mental health in-reach teams and diagnosed with severe mental illness, with a discharge date within 6 months of the point of recruitment. Intervention Participants were randomised to either the intervention or the control (treatment as usual). The intervention group was assigned a case manager who assessed mental and physical health before and following release, made appropriate links to health, housing and financial services and supported the re-establishment of family/peer contact. Outcome The primary outcome measure was engagement with a CMHT 6 weeks post discharge...