ISRCTN42999542已完成未知
Comparison of effectiveness and cost-effectiveness of intensive community care services versus treatment as usual including inpatient care for young people with psychiatric emergencies (IVY): An internal pilot followed by a randomised controlled trial comprising all intensive community service care teams in Great Britain
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 入组人数
- 252
研究概览
简要总结
2024 Protocol article in https://pubmed.ncbi.nlm.nih.gov/38389089/ (added 23/02/2024)
研究设计
- 研究类型
- Interventional
入排标准
- 性别
- All
入选标准
- •Current participant inclusion criteria as of 11/08/2022:
- •1. Young people aged 12 years 0 months to 17 years 11 months
- •2. Young people who can consent* and who are being considered for inpatient psychiatric admission or ICCS in the participating NHS Trusts
- •*Eligible participants under 16 years of age will require the consent of at least one person with parental responsibility.
- •Previous participant inclusion criteria from 11/02/2022 to 11/08/2022:
- •1. Young people aged 12 years 0 months to 17years 11 months
- •2. Young people who can consent* and who are being considered for inpatient psychiatric admission in the participating NHS Trusts
- •*Eligible participants under 16-year of age will require the consent of at least one person with parental responsibility.
- •_______
- •Previous participant inclusion criteria:
- •1. Young people aged 12-18 who can consent/assent and who are being considered for inpatient admission in the catchment areas of one of 97 existing ICCSs or other ICCSs as they are developed will be eligible for recruitment
- •2. All under 16-year olds will require the consent of at least one person with parental responsibility
排除标准
- •Current participant exclusion criteria as of 11/08/2022:
- •1. Local ICCS teams or TAU unable to accept new referrals due to their full capacity being reached
- •2. Young people unable to consent due to their mental state
- •3. The risk profile of the young person is not compatible with ensuring their safety and/or the safety of others in the community*.
- •*We will use the Children Clinical Global Scale (CGAS) to standardise our approach to risk. The CGAS is used to rate the general functioning of young people under the age of 18. It has good validity and reliability. Scores range from 1 to 100, with high scores indicating better functioning. A score of <20, indicating that the young person needs considerable supervision to prevent hurting others or self will be used as a guide to risk, indicating that the young person must be admitted for inpatient care and is therefore ineligible for randomisation
- •Previous participant exclusion criteria from 11/02/2022 to 11/08/2022:
- •1. Local ICCS teams unable to accept new referrals due to their full capacity being reached
- •2. Young people unable to consent due to their mental state
- •3. The risk profile of the young person is not compatible with ensuring their safety and/or the safety of others in the community*.
- •*We will use the Children Clinical Global Scale (CGAS) to standardise our approach to risk. The CGAS is used to rate the general functioning of young people under the age of 18. It has good validity and reliability. Scores range from 1 to 100, with high scores indicating better functioning. A score of <20, indicating that the young person needs considerable supervision to prevent hurting others or self will be used as a guide to risk, indicating that the young person must be admitted for inpatient care and is therefore ineligible for randomisation
- •_______
- •Previous participant exclusion criteria:
- •1. Local ICCS teams unable to accept new referrals due to their full capacity being reached
- •2. Young people unable to consent/assent due to their mental state
- •3. The risk profile of the young person is not compatible with ensuring their safety and/or the safety of others in the community. We will use the Children Clinical Global Scale (CGAS) to standardise our approach to risk. The CGAS is used to rate the general functioning of young people under the age of 18. It has good validity and reliability. Scores range from 1 to 100, with high scores indicating better functioning. A score of <20, indicating that the young person needs considerable supervision to prevent hurting others or self will be used as a guide to risk, indicating that the young person must be admitted for inpatient care and is therefore ineligible for randomisation
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