An Innovative Mental Health Virtual Ward: Evaluation of Patient-Centered Outcomes

Not Applicable

Recruiting

• Conditions: Mental Health Disorder; Psychiatric Emergency; Mental Health Impairment; Crisis; Emotional
• Interventions: Behavioral: Virtual crisis stabilization support with a multi-disciplinary team

• Registration Number: NCT06526026
• Lead Sponsor: University of Manitoba

Brief Summary

The goal of this study is to evaluate if admission to the Mental Health Virtual Ward (MH vWard) for mental health crisis stabilization is having a meaningful positive impact on patient reported outcomes and healthcare utilization. The objectives of this study are:

1. Prospectively measure demographic, recovery, service delivery, and systems use outcomes in a cohort of MH vWard admissions.

2. establish this cohort for use in future research.

As part of the intervention, participants will receive care in the MH vWard for an average of 5 days following a visit to an emergency department or crisis centre for a mental health crisis. While admitted to the MH vWard, participants will:

1. Engage in individual therapy and care planning with a clinician or psychiatry team.

2. Have engagement with formal (community providers) and informal supports (family, friends) for collateral and collaboration.

3. Receive medication reconciliation and management.

4. Participate in group programming.

5. Receive referrals for follow-up services.

6. Have access to after hours support.

7. Have access to the Telus Home Health Monitoring (HHM) App, which is custom designed to complement the services provided by the program.

Detailed Description

Not available

Study Timeline

• Study Start: 2024-07-22
• Study First Submitted: 2024-07-23
• Study First Submitted QC: 2024-07-23
• Study First Posted: 2024-07-29
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-04
• Last Update Posted: 2024-12-09
• Primary Completion: 2026-01-31
• Study Completion: 2026-12-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 476

Inclusion Criteria

• Individuals admitted to the Mental Health Virtual Ward.

Exclusion Criteria

• None.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Mental Health Virtual Ward	Virtual crisis stabilization support with a multi-disciplinary team	Admission to the Mental Health Virtual Ward

Primary Outcome Measures

Name	Time	Method
The World Health Organization-Five (WHO-5) Well-Being Index	1 week, 5 weeks and 6 months from date of discharge	The World Health Organization-Five (WHO-5) Well-Being Index is a questionnaire used for the assessment of subjective psychological well-being.; Five questions are answered on a scale of 1-5 (0 meaning the individual agrees with the statement "at no time", 5 meaning they agree with the statement "all of the time").; Minimum value: 0 Maximum value: 25 A higher score represents better quality of life and well-being, a lower score represents lower quality of life and well-being.

Secondary Outcome Measures

Name	Time	Method
Post-discharge Healthcare Utilization (self-report)	1 week post discharge, 5 weeks post discharge and 6 months from date of discharge	Number of participants who self-report further healthcare utilization following discharge from the virtual ward (all participants); Systems use outcomes will include: emergency department visits, crisis centre visits, and psychiatric hospitalizations collected by self-report. Patients can answer questionnaires electronically, over the phone, or in person with a member of the research team.
Post-discharge Healthcare Utilization (administrative data)	1 week post discharge, 5 weeks post discharge and 6 months from date of discharge	Number of participants with administrative data supporting further healthcare utilization following discharge from the virtual ward (urban participants only); Systems use outcomes will include: emergency department visits, crisis centre visits, and psychiatric hospitalizations collected via healthcare administrative data. This data will be used to collect some systems use outcomes data on participants lost to follow-up in the study, as well as allow for the assessment of recall bias when compared to self-reporting of healthcare utilization.
Maryland Assessment of Recovery Scale-Twelve (MARS-12)	1 week post discharge, 5 weeks post discharge, 6 months post-discharge	Maryland Assessment of Recovery Scale-Twelve (MARS-12) contains a list of statements about an individuals subjective attitude and beliefs towards their own health an wellness.; Twelve questions are answered on a scale from 1-5 (1 meaning the participant "not at all" agrees with the statement, 5 meaning the participant "very much" agrees with the statement).; Minimum value: 12 Maximum value: 60 A higher score represents a higher personal recovery post-discharge, a lower score represent a lower personal recovery post-discharge.

Trial Locations

Locations (1)

Crisis Stabilization Unit; 🇨🇦 Winnipeg, Manitoba, Canada