Coordinated Access to Care From Hospital Emergency Departments - Assessing Effectiveness and Cost-Effectiveness
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Unity Health Toronto
- Enrollment
- 166
- Locations
- 2
- Primary Endpoint
- Frequency of Emergency Department visits
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
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
- Not provided
Arms & Interventions
Intervention arm
Participants will receive brief, intensive case management to connect them to health and social services and supports in the community
Intervention: 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
Intervention: 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
Intervention: Counseling and Resource Education (Behavioral)
Outcomes
Primary Outcomes
Frequency of Emergency Department visits
Time Frame: Baseline, 6 and 12 months
Secondary Outcomes
- 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)