The Mouth Matters in Mental Health Trial –2
Official title: A Link Work Intervention to Support Dental Visiting in People With Severe Mental Health Difficulties: The Mouth Matters in Mental Health Effectiveness and Cost-Effectiveness Trial
Run by Lancashire Care NHS Foundation Trust · NCT07470437 · Data updated 2026-11-12
This trial tests whether a link work program helps adults with severe mental illness to attend routine dental appointments and improves their oral health-related quality of life.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 480 (estimated) |
| Sponsor | Lancashire Care NHS Foundation Trust Research network |
| Locations | 5 sites (Preston, Lancashire and 4 other locations) |
| Status | Recruiting |
| Started | May 1, 2026 |
| Main results expected | July 31, 2029 |
| Study ends | July 31, 2029 |
| Registry record updated | July 27, 2026 |
| Trial ID | NCT07470437 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults age 18 or older with severe mental illness who have not had a routine dental appointment in the past three years and are receiving care from community mental health or early intervention services.
✕Probably not a fit
People who already regularly attend routine dental care or who cannot provide informed consent may not benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized controlled trial compares treatment as usual with and without a link work intervention for adults with severe mental illness. It will recruit 480 participants from five NHS Trusts and follow them for nine months, measuring dental attendance and oral health-related quality of life, plus cost-effectiveness. A qualitative process evaluation will explore how the intervention works and how it could be implemented in real-world settings.
Why it matters
Potential benefit: If successful, the intervention could increase dental attendance and improve oral health-related quality of life for people with severe mental illness, potentially reducing disparities in access to dental care.
How similar studies have gone: Previous feasibility work supports the potential for link work to improve dental attendance in this population, with ongoing evaluation for effectiveness and cost-efficiency.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged ≥18 years. * Receipt of care from community mental health or early intervention teams at the point of referral. * No routine dental appointment (e.g. high street dentist, special care dentist service) in the past three years. This would include any dental examination, diagnosis, advice or treatment (e.g. fillings, root canal, extractions, crowns, dentures, bridges) resulting from a routine (non-emergency) appointment at a dental service. Emergency dental care (e.g. emergency attendance at an Accident \& Emergency Appointment or a dental hospital) is not included within this definition, although any follow-up routine and planned appointments with a dentist would exclude the person from taking part. * Able to provide informed consent as determined by trained researchers in consultation with the clinical team. Exclusion Criteria: * Current inpatient status on psychiatric ward. This does not include people in rehabilitation homes or supported accommodation in the community. * Immediate risk to self or others operationalised as the presence of active intent or planning to harm oneself or others in the near future (e.g. next month), or a suicide attempt in the past month (e.g. life-threatening self-harm, overdose). Where individuals are excluded on this basis, with the person's consent, the researcher will aim to re-contact them and/or the referrer in approximately one-months' time to determine if risk has subsided to a point where they are now eligible. * Enrolled in another dental randomised controlled trial.
Where it's running
-
Lancashire & South Cumbria NHS Foundation Trust
Preston, Lancashire, United Kingdom Recruiting -
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
Newcastle upon Tyne, Northumberland, United Kingdom Recruiting -
Pennine Care NHS Foundation Trust
Ashton-under-Lyne, United Kingdom Recruiting -
Greater Manchester Mental Health NHS Foundation Trust
Manchester, United Kingdom Recruiting -
South London and Maudsley NHS Foundation Trust
London, United Kingdom Not yet recruiting
Study contacts
- Study coordinator: Dr Palmier-Claus, PhD, DClinPsy
- Email: J.Palmier-Claus@lancaster.ac.uk
- Phone: +44 1772 773500
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.