Emergency Linkage to Outpatient Psychiatric Services

This study has been completed.
Sponsor:
Collaborator:
Information provided by:
University of Rochester
ClinicalTrials.gov Identifier:
NCT00278811
First received: January 16, 2006
Last updated: December 10, 2009
Last verified: December 2009
  Purpose

The purpose of this study is to compare two different kinds of follow-up care and their effects on psychiatric service use and psychological well-being. This randomized, controlled trial of subjects discharged from the psychiatric emergency services to outpatient care receive traditional hospital-based outpatient clinic referrals (treatment as usual) or appointments for community-based follow-up by a mobile crisis team.


Condition Intervention Phase
Emergency Services, Psychiatric
Procedure: mobile crisis team
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Treatment
Official Title: Emergency Linkage to Outpatient Psychiatric Services

Resource links provided by NLM:


Further study details as provided by University of Rochester:

Primary Outcome Measures:
  • Subjects randomized to the experimental treatment will demonstrate significantly increased rates of linkage to first outpatient contact as compared with subjects randomized to control treatment. [ Time Frame: 1 week ]

Secondary Outcome Measures:
  • Subjects randomized to experimental treatment will demonstrate significantly reduced levels of psychiatric symptoms and significantly increased scores of overall functioning at 3 months after study enrollment, [ Time Frame: 3 months ]
  • and will demonstrate significantly higher use of outpatient mental health clinical services, lower use of ED contacts, and lower use of inpatient mental health services versus the control group during the six months after study enrollment. [ Time Frame: 3 months ]

Enrollment: 120
Study Start Date: April 2003
Study Completion Date: March 2006
Detailed Description:

There are subgroups of patients who only seek care in emergency settings. An effective strategy to link that group to ambulatory care involves extending contact with psychiatric emergency services beyond the initial hospital-based visit. The "window of opportunity" to promote successful treatment linkage is brief. This is a study of a novel treatment format that seeks to expand the concept of the emergency contact, the study patients method of entering the mental health system of care, and by doing this, enhance retention in prescribed outpatient care. The effects of the intervention on patient symptoms and mental health service use will be examined.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • English and Spanish-speaking adult patients (18-and above) presenting to the psychiatric emergency service who rate a "1" or higher on the Spectrum of Suicidal Behavior of Pfeffer screening scale, and who have outpatient followup organized by Comprehensive Psychiatric Emergency Program staff through hospital outpatient psychiatric services are eligible for inclusion.

Exclusion Criteria:

  • Subjects less than 18 years old, those rated as not suicidal in the emergency department, subjects with mental retardation/developmental delay, and subjects who have community psychiatric treatment that they elect to continue in lieu of hospital outpatient psychiatric services referral are ineligible.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00278811

Locations
United States, New York
University of Rochester Medical Center
Rochester, New York, United States, 14642
Sponsors and Collaborators
University of Rochester
Investigators
Principal Investigator: Glenn W. Currier, M.D., M.P.H. University of Rochester
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00278811     History of Changes
Other Study ID Numbers: 09541
Study First Received: January 16, 2006
Last Updated: December 10, 2009
Health Authority: United States: Institutional Review Board

Keywords provided by University of Rochester:
Mental Health Services
Suicide
Suicide ideation

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on September 29, 2014