Supporting Caregivers Following Mental Health Emergency Department Visits
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- ED Return Visits
研究概览
简要总结
The investigators plan to conduct a pilot hybrid effectiveness-implementation type 1 randomized controlled trial comparing 3 arms of varying follow-up intervention. Caregivers of youth ages 10-17 who present to the Lurie Children's Hospital ED with suicidal thoughts or behaviors (STBs) and are discharged with a safety plan will be included in the current study. Families will be randomized to receive either 1) treatment as usual, 2) follow-up phone calls, or 3) automatic electronic medical record (EMR) MyChart messages
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 10 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants are eligible for participation in the current study if they are parent/guardians of youth ages 10-17 who received a psychiatric evaluation in the ED for suicidal thoughts or behaviors and are being discharged with a safety plan
排除标准
- •Parents/guardians will be excluded from recruitment if the youth is in state custody, if they are not proficient in English or Spanish, if the patient is being admitted or transferred for medical or psychiatric hospital admission, or they are not willing to enroll in MyChart through the EMR. The investigators are also only enrolling one caregiver per patient. In other words, if a patient returns to the ED with a different caregiver, the investigators will not enroll the other caregiver.
研究组 & 干预措施
Telephone Calls
Parents/guardians are contacted via telephone by a psychiatric social worker within 72 hours of ED discharge, then the family receives weekly phone calls until either they have successfully connected to follow-up mental health services or asks to no longer be contacted. Otherwise phone calls will continue to be made weekly until 60-days post-discharge.
干预措施: Telephone Calls (Behavioral)
Standard Treatment
The caregiver receives the standard follow-up protocol once the patient has been discharged from the Emergency Department.
Automatic MyChart Messages
Parents/guardians receive automatic MyChart messages that will provide educational content and provide support around utilizing safety plans and restricting lethal means as well as the importance of connecting to follow-up care. These messages are sent within 72 hours of discharge then weekly for the first 60-days post-discharge.
干预措施: Automatic MyChart Messages (Behavioral)
结局指标
主要结局
ED Return Visits
时间窗: Between baseline enrollment and 90 day follow-up assessment
Count of return visits to the ED for a mental health chief complaint within 90 days from initial ED encounter
次要结局
- Intervention Acceptability(90 Days follow-up)
- Study feasibility(Baseline)
研究者
Amanda Burnside
Assistant Professor, Principal Investigator, Pediatric Psychologist
Ann & Robert H Lurie Children's Hospital of Chicago