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Abstract

Objectives:

Study objectives were to compare mental health outcomes of a peer-led recovery group, a clinician-led recovery group, and usual treatment and to examine the effect of group attendance on outcomes.

Methods:

The study used a randomized design with three groups: a recovery-oriented peer-led group (Vet-to-Vet), a clinician-led recovery group, and usual treatment. The sample included 240 veterans. Recovery and mental health assessments were obtained at enrollment and three months later. Intention-to-treat analysis using mixed-model regression was performed to examine the effect of the intervention. “As treated” analysis was performed to examine the effect of group attendance.

Results:

There were no statistically significant differences in improvement among the groups. Across groups, depression and functioning, psychotic symptoms, and overall mental health improved significantly. Better group attendance was associated with more improvement.

Conclusions:

This study adds to the evidence suggesting no short-term incremental benefit (or harm) from peer services beyond usual care.

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: Stravinsky II, by Larry Rivers, 1966. Color lithograph, printed from ten stones and one photographic plate; 28 1/16 × 39 15/16 inches. Museum of Fine Arts, Boston. Lee M. Friedman Fund, 66.899. Photograph © 2012 Museum of Fine Arts, Boston.
Psychiatric Services
Pages: 1243 - 1246
PubMed: 23203360

History

Published online: 1 December 2012
Published in print: December 2012

Authors

Details

Mark R. Schultz, Ph.D.
Lisa N. Mueller, Ph.D.
Sandra G. Resnick, Ph.D.
Cindy L. Christiansen, Ph.D.
Moe Armstrong, M.B.A., M.A.
Kathryn A. Bottonari, Ph.D.
Robert A. Rosenheck, M.D.
Dr. Eisen, Dr. Schultz, Dr. Clark, and Dr. Christiansen are affiliated with the Center for Health Quality, Outcomes & Economic Research and Dr. Mueller is with the Mental Illness Research Education and Clinical Center (MIRECC, with Veterans Integrated Service Network 1), all at ENRM Veterans Hospital, 200 Springs Rd. (152), Bedford, MA 01730 (e-mail: [email protected]).
Dr. Eisen, Dr. Clark, and Dr. Christiansen are also with the Department of Health Policy and Management, Boston University School of Public Health.
Mr. Degenhart is with the Massachusetts School of Professional Psychology, Boston.
Dr. Resnick is with the Northeast Program Evaluation Center, Veterans Affairs (VA) Medical Center, West Haven, Connecticut, and with Yale University School of Medicine, New Haven, Connecticut.
Mr. Armstrong is with the Errera Community Care Center, VA Connecticut Healthcare System, West Haven.
Dr. Bottonari is with the Ralph H. Johnson VA Medical Center, and the Medical University of South Carolina, Charleston.
Dr. Rosenheck is with the VA New England MIRECC, VA Connecticut Healthcare System, West Haven, and Yale University School of Medicine, New Haven, Connecticut.
Dr. Sadow is with MedOptions, Inc., Bedford, Massachusetts.
Some of the results reported here were presented at the VA Health Services, Research and Development Mental Health and Substance Abuse Meeting, April 28, 2010, Little Rock, Arkansas.

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