{
  "abstract": "Mental health clinical trials in the UK face significant recruitment barriers, with mental health studies comprising just 3.3% of approved interventional medicinal product trials. Challenges include the limited numbers of trials and clinician gatekeeping—where clinicians decide whether or not to inform patients about research opportunities, limiting patient awareness and recruitment. The ‘Count Me In’ (CMI) approach, an opt-out recruitment model launched in Oxford in 2021 and then in Liverpool City Region in 2024, aimed to address these issues by directly contacting patients to discuss research opportunities, empower them in the shared decision process and embed participation in research into real-world clinical care. In this paper, we discuss the need for advancing beyond the original CMI model, including the requirement for enhanced data capture, mechanism for patient outreach that prioritises inclusive practices for improving participation and ensuring diverse, representative trial populations.",
  "authors": [
    {
      "affiliations": [
        "Mersey Care NHS Foundation Trust, Liverpool, England, UK",
        "Nursing and Advanced Practice, Liverpool John Moores University Faculty of Health, Liverpool, England, UK"
      ],
      "name": "Oládayò Bífárìn"
    },
    {
      "affiliations": [
        "Department of Primary Care and Mental Health, University of Liverpool, Liverpool, England, UK",
        "Mental Health Research for Innovation Centre (M-RIC), Mersey Care NHS Foundation Trust, Liverpool, England, UK"
      ],
      "name": "Terry Bryant"
    },
    {
      "affiliations": [
        "Mental Health Research for Innovation Centre (M-RIC), Mersey Care NHS Foundation Trust, Liverpool, England, UK"
      ],
      "name": "Michelle Harvey"
    },
    {
      "affiliations": [
        "NIHR Clinical Research Facility, Oxford Health NHS Foundation Trust, Oxford, England, UK",
        "Department of Psychiatry, University of Oxford, Oxford, England, UK"
      ],
      "name": "Katharine Smith"
    },
    {
      "affiliations": [
        "Mental Health Research for Innovation Centre (M-RIC), Mersey Care NHS Foundation Trust, Liverpool, England, UK",
        "The University of Manchester Faculty of Biology Medicine and Health, Manchester, England, UK"
      ],
      "name": "Jahanara Miah"
    },
    {
      "affiliations": [
        "Mental Health Research for Innovation Centre (M-RIC), Mersey Care NHS Foundation Trust, Liverpool, England, UK"
      ],
      "name": "Jade Thai"
    },
    {
      "affiliations": [
        "Oxford Health NHS Foundation Trust, Oxford, England, UK"
      ],
      "name": "Gonca Ramjaun"
    },
    {
      "affiliations": [
        "Oxford Health NHS Foundation Trust, Oxford, England, UK"
      ],
      "name": "Samantha Edwards"
    },
    {
      "affiliations": [
        "Oxford Health NHS Foundation Trust, Oxford, England, UK"
      ],
      "name": "Helen Jones"
    },
    {
      "affiliations": [
        "NIHR Clinical Research Facility, Oxford Health NHS Foundation Trust, Oxford, England, UK",
        "Department of Psychiatry, University of Oxford, Oxford, England, UK"
      ],
      "name": "Andrea Cipriani"
    },
    {
      "affiliations": [
        "Mental Health Research for Innovation Centre (M-RIC), Mersey Care NHS Foundation Trust, Liverpool, England, UK",
        "Department of Primary Care and Mental Health, University of Liverpool, Liverpool, Merseyside, UK"
      ],
      "name": "Dan W Joyce"
    }
  ],
  "title": "Challenges and solutions to participation in mental health clinical trials: Count Me In 2.0",
  "uid": "acc33303-85dd-5415-966a-e8b098bb12df"
}