The time following discharge from psychiatric hospitalization is a high-risk period and has been associated with a range of negative outcomes including high rates of hospital readmission and suicide. The purpose of this proposal is to: 1) create a Peer Specialist facilitated intervention, called Recovery Bridge, designed to facilitate the transition from inpatient psychiatric hospitalization to community living; 2) examine feasibility, fidelity, and acceptability; and preliminarily explore the impact of the intervention on: a) readmission rates and connection to outpatient care compared to a control group identified from administrative data; and b) change in recovery and quality of life measures over time in the intervention participants. Results from the proposed open pilot trial will set the stage for next steps including a larger effectiveness trial followed by a possible hybrid-I effectiveness/implementation trial to inform future dissemination and implementation of the intervention more broadly across the VA.
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Feasibility 1: Recruitment Benchmark
Timeframe: 3 months
Feasibility 2: Intervention Engagement (Percentage of Sample That Completes at Least 3 Intervention Sessions-with One of the Three Occurring Inpatient
Timeframe: 3 months
Feasibility 3: Drop Out Rate (Percent That Did Not Complete Post-intervention Assessment)
Timeframe: 3 months
Fidelity
Timeframe: 3 months
Acceptability (Patient Satisfaction Questionnaire--administered Post Intervention)
Timeframe: 3 months