Individual research recommendation details

Recommendation ID

NG181/2

Question

How can peer-support interventions be used most effectively to support people with complex psychosis using rehabilitation services?

Any explanatory notes
(if applicable)

Engagement in community activities, including leisure, education and work (recommendations 1.8.7 to 1.8.14)

Evidence from randomised controlled trials showed that Individual Placement and Support (IPS) increases engagement in employment for those interested in work, and this was supported by cost-effectiveness evidence from a health economic model. There was also evidence that adding cognitive remediation can increase the effectiveness of vocational rehabilitation. The committee recommended considering both of these interventions. They agreed, however, that some people may not be ready for mainstream employment and would benefit from alternatives to IPS such as transitional employment schemes.

The committee also discussed the role of partnerships with other organisations such as voluntary organisations and employment advice schemes. They agreed these could be an important route to engagement with employment or education.

The committee discussed peer-support interventions for engaging in community activities. Although these were widely valued by the committee, there was no directly relevant research to guide the development of peer support for community activities in complex psychosis and rehabilitation services. The committee therefore made a research recommendation on peer-support interventions.

The committee also discussed staff training interventions to mediate improvements in daily living skills, interpersonal skills and engagement in community activities, which are key areas of personal recovery in rehabilitation. However, no trials were found that assessed these interventions, so they made a research recommendation on staff training interventions.

Source guidance details

Comes from guidance

Rehabilitation for adults with complex psychosis

Number

NG181

Date issued

August 2020

Other details