ArticlePilot and feasibility studies2018
Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release.
Article in Pilot and feasibility studies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Provision of peer support at the intersection of homelessness and problem substance use services: a systematic 'state of the art' review.BMC public health · 2020Pooled it
- Evaluation of a complex intervention for prisoners with common mental health problems, near to and after release: the Engager randomised controlled trial.The British journal of psychiatry : the journal of mental science · 2023Trial
- Economic evaluation of a complex intervention (Engager) for prisoners with common mental health problems, near to and after release: a cost-utility and cost-consequences analysis.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Trial
- Trial
- Trial
- Psychological therapy for the prevention of suicide in prison: study protocol for a randomised controlled trial.BMC psychiatry · 2024Article
- Psychosocial Interventions for Prisoners with Mental and Substance Use Disorders: A Systematic Review.Indian journal of psychological medicine · 2022Article
- Conducting Randomized Controlled Trials of Complex Interventions in Prisons: A Sisyphean Task?Frontiers in psychiatry · 2022Article
- Supporting prisoners with mental health needs in the transition to RESETtle in the community: the RESET study.Social psychiatry and psychiatric epidemiology · 2021Article
- Using multiple case studies of health and justice services to inform the development of a new complex intervention for prison-leavers with common mental health problems (Engager).Health & justice · 2021Article
- Development and validation of a peer support programme for the prisoners with mental and substance use disorders in India.Indian journal of psychiatryArticle
Corrections and comments
- Erratum issuedErratum to:2017
Authors and funding
17 authors.
Funding
Abstract
backgroundRates 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.
methodsEligible 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.
resultsRecruitment 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.
conclusionsThis 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.
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