Coordinated Access to Care From Hospital Emergency Departments

Not Applicable

Completed

• Conditions: Mental Health
• Interventions: Behavioral: Counseling and Resource Education; Other: Co-ordinated Access to Care from Hospital Emergency Departments; Other: Coordinated Access to Care from Hospital Emergency Departments

• Registration Number: NCT01622244
• Lead Sponsor: Unity Health Toronto

Brief Summary

The study will assess the effectiveness and cost-effectiveness of providing brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems. The goals of the intervention are to support patients' transition to community-based health and social services and supports - including primary and urgent psychiatric care, peer support and other community services and supports - so as to improve patient wellbeing and reduce avoidable ED visits and hospitalizations.

Detailed Description

Not available

Study Timeline

• Status Verified: 2012-06
• Study First Submitted: 2012-06-04
• Study First Submitted QC: 2012-06-14
• Study First Posted: 2012-06-19
• Study Start: 2012-11
• Primary Completion: 2013-09
• Study Completion: 2014-09
• Last Update Submitted: 2014-10-29
• Last Update Posted: 2014-10-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 166

Inclusion Criteria

• legal adult status (age 18)
• able to give informed consent
• have made 5+ visits to participating hospital Emergency Department in the previous 12 months
• One of these visits will have been for a mental health and/or addiction problem.

Exclusion Criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention arm	Coordinated Access to Care from Hospital Emergency Departments	Participants will receive brief, intensive case management to connect them to health and social services and supports in the community
Counseling and Resource Education (CARE)	Counseling and Resource Education	Participants will receive care as usual in the community. In addition, participants in this arm will receive an educational session and resource guide outlining available community-based services
Intervention arm	Co-ordinated Access to Care from Hospital Emergency Departments	Participants will receive brief, intensive case management to connect them to health and social services and supports in the community

Primary Outcome Measures

Name	Time	Method
Frequency of Emergency Department visits	Baseline, 6 and 12 months

Secondary Outcome Measures

Name	Time	Method
Changes in health related quality of life	baseline, 6 and 12 months	The SF-12 and EQ-5D will be used
Changes in substance use	baseline 6 and 12 months	The Addiction Severity index will be used
Days in hospital	baseline, 6 and 12 months
Changes in symptom severity	Baseline, 6 and 12 months	A scales with good psychometric properties, the Colorado Symptom scale, will be used

Trial Locations

Locations (1)

St. Michael's Hospital; 🇨🇦 Toronto, Ontario, Canada