CORE: Crisis Team Optimisation and Relapse Prevention - Phase 3

INTERVENTION: Current interventions as of 05/02/2014: Peer‐provided self management Participants in the treatment group will be offered up to 10 meetings with a peer support worker, who will support them in developing a personal recovery plan using a manualised workbook. Participants in the control group will be given the self‐management workbook but no additional guidance or peer support to help use it. Followed up by a research interview after 4 and 18 months and via patient records over 12 months Previous interventions: Peer‐provided self management Participants in the treatment group will be offered up to 10 meetings with a peer support worker, who will support them in developing a personal recovery plan using a manualised workbook. Followed up after 6 months CONDITION: Mental health ; Mental and Behavioural Disorders PRIMARY OUTCOME: Re‐admission to acute care measured at one year from study entry SECONDARY OUTCOME: Current secondary outcome measures as of 05/02/2014:; 1. Days in acute care over 1‐year follow‐up; 2. Time to readmission (1‐year follow‐up); 3. Mental health service use (1‐year follow‐up) ; 4. Illness management measured at 4‐month follow‐up interview ‐ IMR questionnaire ; 5. Psychiatric symptoms measured at 4‐month follow‐up interview ‐ BPRS questionnaire ; 6. Satisfaction with services measured at 4‐month follow‐up interview ‐ CSQ questionnaire ; 7. Self‐rated recovery measured at 4‐month follow‐up ‐ QPR questionnaire ; 8. Social inclusion at 4‐month follow‐up ? SIX questionnaire; 9. Loneliness at 4‐month follow‐up ? UCLA Loneliness Scale questionnaire; 10. Social network at 4‐month follow‐up ? Lubben SNS questionnaire; 11. Neighbourhood social capital at 4‐month follow‐up ‐ Health and Lifestyles survey Neighbourhood social capital questionnaire; ; Added 07/12/2016: Outcomes 4‐11 will also be assessed at 18 month follow‐up.; ; Previous secondary outcome measures:; 1. Employment status measured at 4 month follow up interview; 2. Illness Management measured at 4 month follow‐up interview ‐ IMR questionnaire; 3. Inpatient bed days, measured one year following study entry; 4. Perceived continuity of care, measured by Continu‐um questionnaire at 4 month follow‐up ; 5. Psychiatric symptoms measured at 4 month follow up interview ‐ BPRS questionnaire ; 6. Satisfaction with services measured at 4 month follow‐up interview ‐ CSQ questionnaire ; 7. Self‐rated recovery measured at 4 month follow up ‐ QPR questionniare INCLUSION CRITERIA: Current inclusion criteria as of 05/02/2014: 1. Adults (aged 18+) who have been on the caseload of a participating Crisis Resolution Team for at least a week 2. Male and female 3. A threshold has been set that at least half the participants recruited must be identified during screening at services as having schizophrenia or other psychosis or bipolar disorder Previous INCLUSION CRITERIA: 1. Adults (aged 18+) who have been on the caseload of a participating Crisis Resolution Team for at least a week 2. Male and female