Codesigning a systemic discharge intervention for inpatient mental health settings (MINDS): a protocol for integrating realist evaluation and an engineering-based systems approach
Jon Wilson,
Jamie Murdoch,
Julia Jones,
Sonia Michelle Dalkin,
Frank Röhricht,
Adam P Wagner,
Emma Kaminskiy,
Sarah Rae,
Alan Simpson,
Alexander Komashie,
John Clarkson,
Catherine Haighton,
Corinna Hackmann,
Melanie Handley,
Hannah Zeilig,
Lisa Marie Grünwald,
Sam Waller,
Joy Bray,
Sophie Bagge,
Giovanni Borghini,
Timoleon Kipouros,
Zohra Taousi
Affiliations
Jon Wilson
Noriwch Medical School, The University of East Anglia, Norwich, UK
Jamie Murdoch
School of Life Course and Population Sciences, King`s College London, London, UK
Julia Jones
Centre for Research in Primary & Community Care, University of Hertfordshire, Hatfield, UK
Sonia Michelle Dalkin
Department of Social Work, Education & Community Wellbeing, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
Frank Röhricht
Wolfson Institute of Population Health, Queen Mary University of London, London, UK
Adam P Wagner
NIHR Collaboration for Leadership in Applied Health Research & Care (CLAHRC) East of England, Cambridge, UK
Emma Kaminskiy
School of Psychology and Sports Science, Anglia Ruskin University, Chelmsford, UK
Sarah Rae
Independant, Cambridge, UK
Alan Simpson
Health Services and Population Research, King`s College London, London, UK
Alexander Komashie
Department of Enginering, University of Cambridge School of Technology, Cambridge, UK
John Clarkson
Engineering Design Centre, University of Cambridge, Cambridge, UK
Catherine Haighton
Department of Social Work, Education & Community Wellbeing, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
Corinna Hackmann
Research and Development, Norfolk and Suffolk NHS Foundation Trust, Norwich, UK
Melanie Handley
Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, UK
Hannah Zeilig
London College of Fashion, University of the Arts London, London, UK
Lisa Marie Grünwald
Research and Development, Norfolk and Suffolk NHS Foundation Trust, Norwich, UK
Sam Waller
Engineering Design Centre, University of Cambridge, Cambridge, UK
Joy Bray
Independant, Cambridge, UK
Sophie Bagge
Norfolk and Suffolk NHS Foundation Trust, Norwich, UK
Giovanni Borghini
Hertfordshire and Peterborough NHS Foundation Trust, St Albans, UK
Timoleon Kipouros
Department of Engineering, University of Cambridge, Cambridge, UK
Zohra Taousi
Hertfordshire and Peterborough NHS Foundation Trust, St Albans, UK
Introduction Transition following discharge from mental health hospital is high risk in terms of relapse, readmission and suicide. Discharge planning supports transition and reduces risk. It is a complex activity involving interacting systemic elements. The codesigning a systemic discharge intervention for inpatient mental health settings (MINDS) study aims to improve the process for people being discharged, their carers/supporters and staff who work in mental health services, by understanding, co-designing and evaluating implementation of a systemic approach to discharge planning.Methods and analysis The MINDS study 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, which will be subjected to process and economic evaluation in stage 3. The programme theories and resulting care planning approach will be refined throughout the study ready for a future clinical trial. MINDS is co-led by an expert by experience, with researchers with lived experience co-leading each stage.Ethics and dissemination MINDS stage 1 has received ethical approval from Yorkshire & The Humber—Bradford Leeds (Research Ethics Committee (22/YH/0122). Findings from MINDS will be disseminated via high-impact journal publications and conference presentations, including those with service user and mental health professional audiences. We will establish routes to engage with public and service user communities and National Health Service professionals including blogs, podcasts and short videos.Trial registration number MINDS is funded by the National Institute of Health Research (NIHR 133013) https://fundingawards.nihr.ac.uk/award/NIHR133013. The realist review protocol is registered on PROSPERO.PROSPERO registration number CRD42021293255.
