CRIMSON Study: RCT of Joint Crisis Plans to Reduce Compulsory Treatment of People with Psychosis

CRIMSON 研究：联合危机计划的随机对照试验可减少对精神病患者的强制治疗

• 批准号: G0601660/1
• 负责人: Graham Thornicroft
• 金额: $ 273.01万
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2007
• 资助国家: 英国
• 起止时间: 2007 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=G0601660%2F1
• 关键词: CRIMSON; Study; RCT; Joint; Crisis

Background: Mental health policy in England emphasises that service users should exercise choice and be treated in the least restrictive way. Despite this, use of compulsory admissions under the Mental Health Act continues to rise. The Joint Crisis Plan (JCP) is so far the only structured intervention shown to reduce compulsory treatment. It aims to empower the holder and to help early detection and treatment of relapse of mental illness. Study design: A multi-site randomised controlled trial of Joint Crisis Plans compared with treatment as usual for people with a history of relapsing psychotic illness. The intervention: The JCP is developed by a mental health service user in collaboration with staff and an independent facilitator. The plan contains information including early warning signs of relapse, details of medication and treatment preferences. Outcomes assessed: (i) Proportion of service users admitted or detained under an order of the Mental Health Act during the follow-up period; (ii) Costs; (iii) Perceived coercion. (iv) Engagement with mental health services; (v) Therapeutic relationship; and (vi) reduced use of the Mental Health Act for the black service users.

背景：英国的精神卫生政策强调服务使用者应该行使选择权，并以最少限制的方式接受治疗。尽管如此，根据《精神卫生法》强制入院的情况仍在增加。联合危机计划（JCP）是迄今为止唯一显示可以减少强制治疗的结构性干预措施。它旨在赋予持有人权力，并帮助及早发现和治疗精神疾病的复发。研究设计：一项多地点随机对照试验，比较联合危机计划与常规治疗对精神病复发史患者的影响。干预措施：JCP是由一名精神卫生服务使用者与工作人员和一名独立调解人合作制定的。该计划包含的信息包括复发的早期预警信号、药物细节和治疗偏好。评估结果：㈠在后续期间，根据《精神卫生法》的命令收容或拘留服务使用者的比例；(2)成本;察觉到的胁迫。㈣参与心理健康服务；治疗关系；（六）减少黑人服务使用者对《精神卫生法》的使用。