Aftercare in the Community Health Center

Not Applicable

Completed

• Conditions: Mental Disorders
• Interventions: Other: Community Health center; Other: Control

• Registration Number: NCT01719354
• Lead Sponsor: Norwegian University of Science and Technology

Brief Summary

This is a trial to examine the effects of aftercare for mental health patients in community health center (Leistad). Recruitment occurs among hospitalized patients in psychiatric hospitals (Østmarka). After discharge, patients will be randomly assigned to one of two groups: intervention group (community health center, primary care) or control group (Community mental health centers of District Psychiatric Service, specialist care).

The project's primary objective is to investigate the effect of community services on patients' functional capacity and user satisfaction after discharge. Secondly, the number of treatment days and readmissions to mental health care will be examined. The project will also compare costs of hospitalization, in psychiatric hospital and community health center respectively. Data will be collected from community health records, medical records and patient systems in psychiatric hospital, community mental health centers of District Psychiatric Service (DPS) and questionnaires filled out by patients.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2012-10-30
• Study First Submitted QC: 2012-10-31
• Study First Posted: 2012-11-01
• Study Start: 2013-01
• Primary Completion: 2015-04
• Study Completion: 2015-04
• Status Verified: 2017-02
• Last Update Submitted: 2017-02-12
• Last Update Posted: 2017-02-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 41

Inclusion Criteria

• considered by the responsible manager to have given consent
• hospitalized, diagnosed and treated such as can be continued in a District Psychiatric Service or a health center.
• stable condition, but anxiety and disruptive behavior may occur to a lesser extent.
• considered to have a perceived need for complex services from specialist health and community for a long time after discharge.

Exclusion Criteria

• not in a stable phase thus shielding required

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Community Health center	Community Health center	Aftercare in a community Health center
Control	Control	AFtercare as usual in hospital/Mental health centers of District Psychiatric Service (DPS.

Primary Outcome Measures

Name	Time	Method
Consumption of community health service	one year	Measure different types of community health services in hours per week.
Need for community health services	one year	Using individual-based nursing and care statistics (Norw. IPLOS) form with 17 variables to identify patient needs
User satisfaction	one year	A qualitative analysis of interviews of 10 patients who have been admitted to the District Psychiatric Service and community health center.

Secondary Outcome Measures

Name	Time	Method
Number of treatment days	One year	Number of treatment days in hospital and District Psychiatric Service compared with number of treatment days in community health center.
Readmission	One year	Readmission in hospital.
The total costs of inpatient and total costs of all health care after discharge	One year	Costs per day in hospital; Costs per day for District Psychiatric Service; Costs per day in community health center

Trial Locations

Locations (1)

Regional Committees for Medical and Health Research Ethics; 🇳🇴 Trondheim, Norway