Coordinated Access to Care From Hospital Emergency Departments

Not Applicable

Completed

• Conditions: Mental Health

• 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

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