Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring

Not Applicable

Completed

• Conditions: Severe mental illness; Mental and Behavioural Disorders; Mental and behavioural disorders

• Registration Number: ISRCTN63162737
• Lead Sponsor: Department of Health Canton Zurich (Gesundheitsdirektion Kanton Zürich) (Switzerland)

Brief Summary

1. 2012 protocol in: http://www.ncbi.nlm.nih.gov/pubmed/22946957 2. 2015 results of an intervention programme for people with severe mental illness that targets the reduction in compulsory psychiatric admissions. In https://www.ncbi.nlm.nih.gov/pubmed/25361537 (added 24/01/2019) 3. 2015 results of the effects of a preventive monitoring program targeted to reduce compulsory rehospitalization and perceived coercion in patients with severe mental disorder. In https://www.ncbi.nlm.nih.gov/pubmed/26635637 (added 24/01/2019) 4. 2016 results in https://www.ncbi.nlm.nih.gov/pubmed/25942077 (added 24/01/2019) 5. 2018 results in https://www.ncbi.nlm.nih.gov/pubmed/28805175 (added 24/01/2019)

Detailed Description

Not available

Study Timeline

• Study Start: 2011-09-06
• Study Completion: 2014-05-01
• Last Update Posted: 2019-02-11

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

1. People with mental disorder in psychiatric inpatient treatment who have been compulsorily admitted to psychiatry at least once during the past 24 months
2. Aged 18-65 years at admission
3. Are residing in the Canton of Zurich
4. Have sufficient language skills to give meaningful information on study instruments
5. Are willing and able to consent

Exclusion Criteria

1. Patients who cannot be contacted by telephone (no telephone or mobile phone available)
2. Main diagnosis of organic mental disorder International Classfication of Diseases (ICD-10 F0), mental retardation (ICD-10 F7), behavioural syndromes associated with physical factors (ICD-10 F5), developmental or behavioural disorders with onset usually occurring in childhood and adolescence (ICD-10 F8-F9)

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<br> 1. Number and length of compulsory inpatient episodes in a psychiatric hospital during the follow-up (t0 ? t2). This outcome criterion will be analysed in terms of both time in hospital and health care costs (measured using the Sociodemographic and Service Receipt Inventory CSSRI-EU: number and length of voluntary and involuntary psychiatric inpatient episodes; frequency and length of stays in forensic facilities, frequency of use of outpatient psychiatric care and of other services during follow-up)<br> 1.1. All major endpoints and outcomes of the study will be compared between the intervention and the control group. The group comparability will be tested by control variables (age, sex, length of illness, severity of illness, social support).<br>

Secondary Outcome Measures

Name	Time	Method
<br> 1. Treatment satisfaction [baseline (t0) ? end of intervention (t2)], Client Satisfaction Questionnaire CSQ-8<br> 2. Level of empowerment (t0 ? t2; Empowerment-Scale)<br> 3. Internalised Stigma (t0 ? t2; Internalised Stigma of Mental Illness Inventory)<br>