Transitional Case Management for Patients Suffering From Substance Use Disorders
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Hospital days
研究概览
简要总结
According to the World Health Organization the population suffering from addiction problems is increasing. This population is characterized by multiple needs at the medico-psychosocial level. However, some of these patients, a particular subgroup that we are going to be interested in the so-called "high need" user group, find it difficult to access and stay in outpatient treatment programs. They often present a chaotic use of the health system, including a high number of hospitalizations in times of crisis. They also show very low utilization of health care services, accompanied by social marginalization. This can be related to relapses and poor social functioning. A high number of relapses occur particularly at the end of hospitalization. Interventions in the field of addiction, such as Transitional Case Management (TCM) should increase the adherence of these patients to treatment by accompanying them in the sensitive period following hospitalization. One of the objectives of the study is to evaluate the impact of TCM on the number, duration and type of hospitalizations, as well as the number of emergency room visits. The investigators will also measure the duration until the possible future hospitalization, after the TCM. The secondary objectives of this study will be to see the effect of TCM on adherence to outpatient treatment. The investigators will focus on the impact of follow-up on the participant's medico-psycho-social network, substance use and other psychological variables. The investigators will also evaluate his or her psychiatric symptoms and global and social functioning. Life satisfaction and satisfaction with the care received will also be measured. The investigators will compare the population treated by the TCM with the other users of the addiction service who are hospitalized. The study will investigate this through questionnaires at the beginning of care, at one month, three months, six months and 12 months after the start of TCM management.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Substance use disorder
- •Hospitalisation at recruitment
- •Substance Use Disorder according to the DSM-5 and one of the following criteria:
- •No preexisting outpatient follow-up care or regular follow-up care
- •More than three emergency room visits during the last 12 months
- •More than three hospitalizations in psychiatric hospital during the last 12 months
- •More than 40 hospitalization's days during the last 12 months
- •First hospitalization for a SUD
排除标准
- •Evidence of organic brain disease or learning disability based on the chart review.
结局指标
主要结局
Hospital days
时间窗: at 12 months
Number of days in hospital
次要结局
- Type of admission (planned versus unplanned)(0, 1, 3, 6, 12 months)
- Number of ER visits(0, 1, 3, 6, 12 months)
- General psychiatric symptoms(0, 1, 3, 6, 12 months)
- General life satisfaction(0, 1, 3, 6, 12 months)
- Treatment adherence(0, 1, 3, 6, 12 months)
- Patient network(0, 3, 6, 12 months)
- Time to first readmission to hospital(0, 1, 3, 6, 12 months)
- Number or Transitional Case Management interventions(0, 1, 3, 6, 12 months)
- Global functioning(0, 1, 3, 6, 12 months)
- Addictive behaviour(0, 1, 3, 6, 12 months)
- Service use(at 12 months)
- Advance directives written by the participants(at Baseline)
研究者
Louise Penzenstadler
Principal investigator
University Hospital, Geneva