An Evaluation of Virtual Psychiatric Transition of Care Offered in Behavioral Health
- Conditions
- Mental Health Issue
- Interventions
- Behavioral: Virtual Psychiatric Transition of Care Program
- Registration Number
- NCT05460078
- Lead Sponsor
- Wake Forest University Health Sciences
- Brief Summary
The primary objective is to evaluate the effectiveness of a post inpatient discharge virtual psychiatric care team compared to standard care, to reduce 30-day all cause non-elective acute care utilization (Emergency Department (ED), observation, and inpatient encounters).
- Detailed Description
The foundational idea for the Virtual Psychiatric Transition of Care (VPTC) program came from the Atrium Health Hospital at Home care model which has garnered wide acclaim and financial support in the acute care world. A behavioral health care team comprised of licensed clinicians (Behavioral Health Professionals), health coaches, a consulting psychiatric pharmacist and psychiatric providers follow patients for 45 days or more depending on patient need after their acute care encounter. Patient enrolled in the VPTC program will receive the following core components: Introduction to the patient follow-up process, psychosocial assessment, tracking and treatment recommendations for (residential movement, nutrition, sleep hygiene, stress management, pain management, perinatal/postpartum mood disorders, substance abuse), tracking and treatment recommendations for behavioral health symptoms (depression, anxiety, suicidal ideation, etc.), placement into an appropriate case management program if needed, navigation to additional psychiatric or substance use services if needed, and motivational interviewing and brief therapeutic recommendations if needed.
For patients that have attempted suicide, they will begin the VPTC program following the zero suicide pathway. The Atrium Health Behavioral Health Service Line created the 'Zero Suicide pathway', in 2019 for those patients identified as "high risk" for suicide when leaving inpatient units. Zero Suicide is a national movement sponsored by the 2012 National Strategy for Suicide Prevention, National Alliance for Suicide Prevention, Suicide Prevention Resource Center and the Substance Abuse and Mental Health Services Administration (SAMHSA). It is a programmatic approach to keep patients from falling through the cracks in a fragmented and disconnected healthcare system and is based on the belief that suicide is preventable, and suicide deaths are not fated. Since access to mental health services is constrained in our community, patients often fall through the cracks when transitioning between points of care.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 7526
- Residency or shelter in North Carolina
- 18 years of age or older on the day of discharge
- Access virtual care (phone/video)
- Discharged from a behavioral health hospital or a behavioral health unit
- None
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Virtual program Virtual Psychiatric Transition of Care Program Seen at a location where the virtual program is being offered
- Primary Outcome Measures
Name Time Method Number of Participants With All Cause Non-elective Acute Care Post Discharge Utilization Within 30 Days day 30 30-day all cause non-elective acute care post discharge utilization (Emergency Department (ED), inpatient, and observation encounters)
- Secondary Outcome Measures
Name Time Method 45-day All Cause Non-elective Acute Care Utilization day 45 45-day behavioral health acute care utilization (ED visits, observation, and inpatient encounters)
45-day Behavioral Health Acute Care Utilization day 45 45-day behavioral health acute care utilization (BH unit or BH ED)
60-day All Cause Non-elective Acute Care Utilization day 60 60-day all cause non-elective acute care utilization (ED visits, observation, and inpatient encounters)
Trial Locations
- Locations (7)
Atrium Health Behavioral Health Davidson - Mountain Laurel
🇺🇸Charlotte, North Carolina, United States
Atrium Health Kings Mountain Psychiatry
🇺🇸Kings Mountain, North Carolina, United States
Atrium Health Behavioral Health Davidson - River Birch
🇺🇸Charlotte, North Carolina, United States
Atrium Health Behavioral Health Charlotte - ED Obs
🇺🇸Charlotte, North Carolina, United States
Atrium Health Behavioral Health Charlotte - North and South
🇺🇸Charlotte, North Carolina, United States
Carolinas Medical Center Main - 6B
🇺🇸Charlotte, North Carolina, United States
Atrium Health Behavioral Health Davidson - Frasier Fur
🇺🇸Davidson, North Carolina, United States