Effects of a peer-run course on recovery from serious mental illness: a randomized controlled trial.
OBJECTIVE
Research on the effectiveness of peer-run services on the recovery of people with major psychiatric problems has been limited and poorly controlled. This study evaluated the effects of a 12-week peer-run course on recovery, "Recovery Is Up to You."


METHODS
Recruitment of people with major psychiatric problems took place in the Netherlands between 2006 and 2008, and the effects of the peer-run intervention were evaluated in a randomized controlled trial. A total of 333 people were randomly assigned to the experimental (N=168) or control (N=165) condition. Self-report instruments used were the Herth Hope Index, the Manchester Short Assessment of Quality of Life, the Mental Health Confidence Scale, the Dutch Empowerment Scale, and the Loneliness Scale. Assessments took place at baseline, after three months (at the end of the course), and after six months. Data were analyzed by using linear mixed modeling.


RESULTS
The intervention had a significant and positive effect on empowerment, hope, and self-efficacy beliefs but not on quality of life and loneliness. The effects of the intervention persisted three months after participants completed the course.


CONCLUSIONS
The results suggest that the peer-run course contributed to improvement in important domains of recovery. Peer-run services, such as "Recovery Is Up to You," add value to recovery-oriented mental health care because they offer participants an opportunity to make an active start on their recovery.
Scientific Center for Care and Welfare, Department of Tranzo, Tilburg University, the Netherlands.
Hanneke
H
van Gestel-Timmermans
Evelien P M
EP
Brouwers
Marcel A L M
MA
van Assen
Chijs
C
van Nieuwenhuizen
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D016014:Linear Models; D008132:Loneliness; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000534:rehabilitation*; D008875:Middle Aged; D055361:Multilevel Analysis; D009426:Netherlands; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010353:Patient Education as Topic; D010358:Patient Participation; D010379:Peer Group; D010549:Personal Satisfaction; D011209:Power, Psychological; D015397:Program Evaluation; D011788:Quality of Life; D020377:Self Efficacy; D057566:Self Report; D012657:Self-Help Groups / Q000458:organization & administration*; D012944:Social Support; D055815:Young Adult