Linking people with mental illness into evidence-based treatments
Voice Hallucination Study
Normal treatment doesn't involve any individual time with a clinical psychologist on the mental health unit, which is proving difficult because either patients or family want them to see a psychologist on the unit, and therefore they can be withdrawn from the trial or are not allowed on the trial in the first place.
Some of the psychologists are in an ethical conflict about depriving patients with schizophrenia the opportunity to talk with them but still agree with the trial in principle.
These patients can go into a new Naturalistic Longitudinal Study using the same measures and blinded assessors as in the current trial. The PhD student would be required to gain ethics approval and conduct project management, including recruitment.
Expanding on the Voice Hallucination Study
This PhD opportunity involves expanding the three trials into other mental health units (MHUs) and proving any significant statistical difference between the treatment groups.
Based on recruitment over at least the last 10 months, at about one participant per month per trial, this will take eight more years for the Substance Use and Supported Employment Trials, and three years for the Voice Hallucination trial.
Expanding the trials will shorten the trial lengths and promote needed positive culture change in other MHUs more quickly. Expanding the Voice Hallucination trial would be relatively easy because clinical psychologists are posted to all MHUs.
Expanding the Supported Employment Trial is also straightforward because it would require training mental health nurses on the units in a simple positive to use six-month telephone support intervention.
The author has already piloted 15 patients with the intervention and the nursing feedback has been resoundingly positive, as well as trained five committed nurses for the current trial. The Substance Use Trial would be possible, but more difficult, because most of the Mental l Health Units except one other do not have alcohol and drug nurse clinicians to do the more time intensive intervention.
Additional Supported Employment Studies
This PhD opportunity involves developing and testing further interventions on MHUs and in the community to get people with Schizophrenia, who want to work, into supported employment. The PhD student would be required to evaluate what keeps people with Schizophrenia who want to work in supported employment for the long-term. They would also further evaluate the benefits of supported employment on physical and mental health.
Additional Substance Use Studies
The PhD student would be required to explore and measure the elements of community rehabilitation participants choose in the trial which stop relapse of substance use disorder in mental illness.