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dc.contributor.authorLennox, C
dc.contributor.authorKirkpatrick, T
dc.contributor.authorTaylor, RS
dc.contributor.authorTodd, R
dc.contributor.authorGreenwood, C
dc.contributor.authorHaddad, M
dc.contributor.authorStevenson, C
dc.contributor.authorStewart, A
dc.contributor.authorShenton, D
dc.contributor.authorCarroll, L
dc.contributor.authorBrand, SL
dc.contributor.authorQuinn, C
dc.contributor.authorAnderson, R
dc.contributor.authorMaguire, M
dc.contributor.authorHarris, T
dc.contributor.authorShaw, J
dc.contributor.authorByng, R
dc.date.accessioned2018-02-26T08:53:49Z
dc.date.issued2017-07-07
dc.description.abstractBACKGROUND: Rates of common mental health problems are much higher in prison populations, but access to primary care mental health support falls short of community equivalence. Discontinuity of care on release is the norm and is further complicated by substance use and a range of social problems, e.g. homelessness. To address these problems, we worked with criminal justice, third sector social inclusion services, health services and people with lived experiences (peer researchers), to develop a complex collaborative care intervention aimed at supporting men with common mental health problems near to and following release from prison. This paper describes an external pilot trial to test the feasibility of a full randomised controlled trial. METHODS: Eligible individuals with 4 to 16 weeks left to serve were screened to assess for common mental health problems. Participants were then randomised at a ratio of 2:1 allocation to ENGAGER plus standard care (intervention) or standard care alone (treatment as usual). Participants were followed up at 1 and 3 months' post release. Success criteria for this pilot trial were to meet the recruitment target sample size of 60 participants, to follow up at least 50% of participants at 3 months' post release from prison, and to deliver the ENGAGER intervention. Estimates of recruitment and retention rates and 95% confidence intervals (CIs) are reported. Descriptive analyses included summaries (percentages or means) for participant demographics, and baseline characteristics are reported. RESULTS: Recruitment target was met with 60 participants randomised in 9 months. The average retention rates were 73% at 1 month [95% CI 61 to 83] and 47% at 3 months follow-up [95% CI 35 to 59]. Ninety percent of participants allocated to the intervention successfully engaged with a practitioner before release and 70% engaged following release. CONCLUSIONS: This pilot confirms the feasibility of conducting a randomised trial for prison leavers with common mental health problems. Based on this pilot study and some minor changes to the trial design and intervention, a full two-centre randomised trial assessing the clinical and cost-effectiveness of the ENGAGER intervention is currently underway.en_GB
dc.description.sponsorshipENGAGER is funded by the NIHR Programme Grant (Grant number: RP-PG-1210-12011). The funders had no input into the design of the study, the collection, analysis and interpretation of data and in writing the manuscript.en_GB
dc.identifier.citationVol. 4, pp. 15 -en_GB
dc.identifier.doi10.1186/s40814-017-0163-6
dc.identifier.other163
dc.identifier.urihttp://hdl.handle.net/10871/31654
dc.language.isoenen_GB
dc.publisherBioMed Centralen_GB
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pubmed/28694994en_GB
dc.rights© The Author(s). 2017. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_GB
dc.subjectMental healthen_GB
dc.subjectOffenderen_GB
dc.subjectPiloten_GB
dc.subjectPrisonen_GB
dc.subjectRandomised controlled trialen_GB
dc.titlePilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release.en_GB
dc.typeArticleen_GB
dc.date.available2018-02-26T08:53:49Z
dc.identifier.issn2055-5784
exeter.place-of-publicationEnglanden_GB
dc.descriptionThis is the final version of the article. Available from BioMed Central via the DOI in this record.en_GB
dc.identifier.journalPilot and Feasibility Studiesen_GB


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