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If you have a question about this talk, please contact Nikolina Skandali.

Transition following discharge from mental health hospital is high risk in terms of relapse, readmission and suicide. Discharge planning supports transition and reduces risk, but it is a complex activity involving varied interacting systemic elements. The MINDS study aims to improve the process for people being discharged, their supporters, and staff who work in mental health services, by understanding, co-designing and evaluating implementation of a systemic approach to discharge planning. The research and co-design methodologies are designed to integrate the perspectives of all key stakeholders to develop an approach to discharge that is implementable and, critically, meets and balances the needs of service users, their supporters, staff and the system.

The MINDS study (NIHR 133013) integrates realist research and an engineering-informed systems approach across three stages:

· Stage 1 applies realist review and evaluation using a systems approach to develop programme theories of discharge planning.

· Stage 2 uses an Engineering Better Care framework to codesign a novel systemic discharge intervention.

· Stage 3 is a process and economic evaluation of the discharge planning approach in practice.

The programme theories and components of the approach will be refined throughout the study to develop a systemic approach to discharge with accompanying materials and tools to support implementation, ready for a future clinical trial. The idea for the MINDS study was conceived from the co-lead’s lived-experience (Sarah Rae) and includes both lived-experience researchers and a Lived Experience Advisory Group.

This talk is part of the Department of Psychiatry & CPFT Thursday Lunchtime Seminar Series series.

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