Patient Guided Psychiatric Admissions

Not Applicable

Completed

• Conditions: Bipolar Disorder; Schizophrenia
• Interventions: Behavioral: admissions contract; Other: wait list control

• Registration Number: NCT01133587
• Lead Sponsor: St. Olavs Hospital

Brief Summary

To meet the requirement for increased patient involvement, several Community Mental Health Centres (CMHC) have initiated a service called "patient-guided admissions". The investigators will compare a group with "patient guided admission/self-referral to inpatient beds" with a group having treatment as usual.

It is expected that patients in the intervention group will experience more increased feeling of coping (patient activation) after 4 months and 12 months as a result of participating in "patient-guided admissions" than patients getting treatment as usual. In addition the total number of inpatient days either in the CMHC, psychiatric hospital or community rehabilitation centre is expected to be clearly lower in the intervention group than in the 'treatment-as-usual' group during one year after intake. Also the number of involuntary admissions either as inpatient or outpatient will be significant lower in the intervention group than the 'treatment-as-usual' group.The number of admissions in CMHC and psychiatric hospital, as well as the number of outpatient consultations in primary care, CMHC and psychiatric hospitals, will be lower in the intervention group than in the 'treatment-as-usual' group. Patients in the intervention group will experience improved mental health, increased feeling of coping (patient activation) and increased experience of recovery after 4 months and 12 months as a result of participating in "patient-guided admissions".

Detailed Description

Participants will be patients with psychosis or bipolar disorders. Patients in the intervention group will have a contract on "self-referral to inpatient beds" for one year. They can call the CMHC directly and ask for a bed for until 5 nights.

The patients in the 'treatment-as-usual' group will follow common procedures by either contacting their general practitioner, emergency department or duty doctor, and they will be offered a "self-referral to inpatient bed" contract after a year if they satisfy the inclusion criteria.

Regardless of the participation in the intervention group, the patients can also be ordinary admitted during the project period by a doctor via regular procedures in both hospital and CMHC if there is a need for this. All admissions will appear in the register data.

Study Timeline

• Study Start: 2010-05
• Study First Submitted: 2010-05-19
• Study First Submitted QC: 2010-05-28
• Study First Posted: 2010-05-31
• Primary Completion: 2013-12
• Study Completion: 2013-12
• Status Verified: 2017-03
• Last Update Submitted: 2017-03-31
• Last Update Posted: 2017-04-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 53

Inclusion Criteria

• schizophrenia or bipolar disorder
• long term care
• established relationship with the ward

Exclusion Criteria

• extensive substance use problems
• self-destructive behavior
• not able to consent

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
admissions contract	admissions contract	contract regarding "patient-guided admissions"
wait list control	wait list control	1 year on waiting list

Primary Outcome Measures

Name	Time	Method
Patient activation/coping	12 months	Patient Activation Measure (PAM 13)

Secondary Outcome Measures

Name	Time	Method
Total number of inpatient days	12 months	Total number of inpatient days in CMHC, psychiatric hospital or community rehabilitation centre
Number of outpatient consultations	12 months	Number of outpatient consultations in primary care, in CMHC and psychiatric hospital
Number of admissions	12 months	Number of admissions in CMHC, psychiatric hospital of community rehabilitation centre
Number of involuntary admissions	12 months	Number of involuntary admissions either as inpatient or outpatient
Symptoms/functioning and recovery	12 months	Behavior and symptom identification scale (BASIS 32) and Recovery Assessment Scale (RAS 24)

Trial Locations

Locations (1)

St.Olavs hospital, Psykisk helsevern, Nidaros DPS; 🇳🇴 Trondheim, Norway