Coordinated Access to Care From Hospital Emergency Departments - Assessing Effectiveness and Cost-Effectiveness
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 166
- 试验地点
- 3
- 主要终点
- Frequency of Emergency Department visits
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- 未提供
研究组 & 干预措施
Intervention arm
Participants will receive brief, intensive case management to connect them to health and social services and supports in the community
干预措施: Co-ordinated Access to Care from Hospital Emergency Departments (Other)
Intervention arm
Participants will receive brief, intensive case management to connect them to health and social services and supports in the community
干预措施: Coordinated Access to Care from Hospital Emergency Departments (Other)
Counseling and Resource Education (CARE)
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
干预措施: Counseling and Resource Education (Behavioral)
结局指标
主要结局
Frequency of Emergency Department visits
时间窗: Baseline, 6 and 12 months
次要结局
- Changes in health related quality of life(baseline, 6 and 12 months)
- Changes in substance use(baseline 6 and 12 months)
- Days in hospital(baseline, 6 and 12 months)
- Changes in symptom severity(Baseline, 6 and 12 months)