A Brief Case Management Intervention to Promote Personal Recovery and Prevent Psychiatric Involuntary Readmissions.

Summary

The goal of this randomized control trial is to assess the effectiveness of a Brief Case Management (BCM) intervention aimed at promoting personal recovery and reducing the negative effects of coercion among people involuntarily admitted to a psychiatric hospital.

The main questions it aims to answer are :

* Does the Brief Case Management intervention reduce the incidence of involuntary readmission18 months after the initial involuntary hospitalisation?
* What impact does the Brief Case Management intervention have on patients' involuntary readmission 6 months after the initial involuntary hospitalisation, as well as on their personal recovery, perceived coercion, satisfaction with treatment, and on their exposure to other forms of formal and informal coercion?

Participants will be randomly assigned to either the control or the intervention group, accordingly they will be asked to take part in:

Control Group:

* Three evaluation sessions (baseline, 6 and 18 months follow-up);

Intervention Group :

* Three evaluation sessions (baseline, 6 and 18 months follow-up);
* The 5 sessions of the brief case management intervention (6th session optional).

Conditions

• Psychiatric Disorder
• Involuntary Psychiatric Hospitalization

Interventions

OTHER

Brief Case Management intervention

The BCM intervention aims to support patients during the difficult phase of involuntary hospitalisation and reduce the impact of this short-term event on their long-term recovery process. It is provided by a nurse or social worker case manager. Developed in collaboration with people who have experienced coercion, the intervention starts during the hospital stay, at the latest two weeks after admission, and lasts for a maximum of two months after discharge. The intervention consists of five sessions, the order of which may vary according to the specific needs of the patient: Session 1: Definition of "personal recovery" and impact of coercion on it Session 2 and 3: Elaboration of the Personal Recovery Plan (PRP) Session 4: Network meeting to discuss the PRP Session 5: Finalisation of the PRP For those who request it, an additional session can be arranged after three months to monitor progress and eventually adjust the recovery plan.

OTHER

TAU

Standard inpatient and outpatient psychiatric care.

Sponsors & Collaborators

• University of Lausanne

  collaborator OTHER

• Stéphane Morandi

  lead OTHER

Principal Investigators

• Stéphane Morandi · Centre Hospitalier Universitaire Vaudois, CHUV

Study Design

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

64 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-06-30

Primary Completion

2029-11-30

Completion

2029-11-30

Countries

• Switzerland

Study Locations