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Let's Talk 2

Overview

Let’s Talk 2 is a trial testing whether the Let’s Talk programme helps people who experience psychosis and have concerns about stigma. The Let’s Talk programme aims to provide a safe space to discuss concerns about talking to others about your mental health and aims to help people make decisions that are right for them.

Who are we looking to recruit?

We would like to speak to people who have experience of psychosis who feel that mental health stigma has affected them talking to others about their mental health.

What’s involved?

Let’s Talk is a randomised controlled trial. This means that 50% of participants taking part in the study will be randomly allocated to take part in the Let’s Talk intervention in addition to their usual care, and 50% of participants will be randomly allocated to continue with their usual care. 

Over a 4-month period, you will receive up to 16 sessions with a Peer Support Worker who will work with you as you move through the Let’s Talk workbook. 

A Peer Support Worker is a mental health worker who has also experienced similar mental health experiences and difficulties. They aim to support you to think about the pros and cons of talking about mental health in the daily settings of your life. 

Whether you are allocated to continue with your standard care or take part in the Let’s Talk 2 programme + your standard care, you will be asked to meet with a researcher for follow-up assessments after 4 months and 12 months. These meetings will involve a conversation with the researcher about mental health stigma and its impact on wellbeing, plus nine questionnaires. 

Rewards and expenses 

Participants in both ‘arms’ of the trial will have the opportunity to talk to a supportive researcher about their experiences and will receive £25 for each assessment that they attend with a research assistant.

How do I take part? 

If you would like to find out more about Let’s Talk, or you are interested in taking part, please …

  • Speak to your SLaM care coordinator, or
  • Contact us directly / use the form below

Interested in taking part in this study?

Planned end date

31 Aug 2028 12:25

Conditions

Psychosis

Inclusion Criteria

  1. Age 16+
  2. Meet ICD-11 Schizophrenia or other primary psychotic disorders diagnosis (as determined by the participant’s clinical team) or be receiving care for psychosis from Early Intervention Services (EIS) to account for diagnostic uncertainty in the early stages of psychosis.
  3. Under the care of a secondary or tertiary mental health service at point of referral to ensure provision of care.
  4. Able to provide written, informed consent (for ethical considerations).
  5. Willing to engage in a peer support intervention.
  6. Moderate to severe self-reported disclosure-related distress as determined by scoring > 3 on the disclosure distress screening item.
  7. Moderate to severe internalised stigma as determined by a score of > = 3 on at least one of the Internalised Stigma domains of the Semi-structured Interview Measure of Stigma.

Exclusion Criteria

  1. A primary diagnosis of alcohol or substance dependency, where this is clearly the cause of their psychotic symptoms. This does not exclude people who use substances or alcohol, only those with a primary diagnosis. This will be confirmed by participants' care teams.
  2. A diagnosis of moderate to severe learning disability. This will be confirmed by participants' care teams.
  3. An ICD-11 diagnosis of organic psychosis. This will be confirmed by participants' care teams.
  4. Non-English speaking, since the intervention workbook has been adapted for individual delivery in English and is a talking therapy which would require both translation (workbook) and interpreters during the intervention session. Provision for non-English speakers would not be feasible within the scope of this controlled test of intervention efficacy as the intervention workbook has been developed and tested for feasibility in English.
  5. Immediate risk to self or others. This will be confirmed by participants' care teams.
  6. Currently receiving structured, individual psychological therapy.
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