Aftercare in the Community Health Center
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Purpose
This is a trial to examine the effects of aftercare for mental health patients in community health center (Leistad). Recruitment occurs among hospitalized patients in psychiatric hospitals (Østmarka). After discharge, patients will be randomly assigned to one of two groups: intervention group (community health center, primary care) or control group (Community mental health centers of District Psychiatric Service, specialist care).
The project's primary objective is to investigate the effect of community services on patients' functional capacity and user satisfaction after discharge. Secondly, the number of treatment days and readmissions to mental health care will be examined. The project will also compare costs of hospitalization, in psychiatric hospital and community health center respectively. Data will be collected from community health records, medical records and patient systems in psychiatric hospital, community mental health centers of District Psychiatric Service (DPS) and questionnaires filled out by patients.
| Condition | Intervention |
|---|---|
|
Mental Disorders |
Other: Community Health center Other: Control |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Aftercare in the Community Health Center - a Venue for Identifying and Coordinating Community Services |
- Consumption of community health service [ Time Frame: one year ] [ Designated as safety issue: No ]Measure different types of community health services in hours per week.
- Need for community health services [ Time Frame: one year ] [ Designated as safety issue: No ]Using IPLOS (Norw. individbasert pleie- og omsorgsstatistikk) form with 17 variables to identify patient needs
- User satisfaction [ Time Frame: one year ] [ Designated as safety issue: No ]A qualitative analysis of interviews of 10 patients who have been admitted to the District Psychiatric Service and community health center.
- Number of treatment days [ Time Frame: One year ] [ Designated as safety issue: No ]Number of treatment days in hospital and District Psychiatric Service compared with number of treatment days in community health center.
- Readmission [ Time Frame: One year ] [ Designated as safety issue: No ]Readmission in hospital.
- The total costs of inpatient and total costs of all health care after discharge [ Time Frame: One year ] [ Designated as safety issue: No ]Costs per day in hospital; Costs per day for District Psychiatric Service; Costs per day in community health center
| Estimated Enrollment: | 140 |
| Study Start Date: | November 2012 |
| Estimated Study Completion Date: | May 2014 |
| Estimated Primary Completion Date: | May 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Community Health center
Aftercare in a community Health center
|
Other: Community Health center
Observation of the functioning and coordination of health care before discharge to own home.
|
|
Active Comparator: Control
AFtercare as usual in hospital/Mental health centers of District Psychiatric Service (DPS.
|
Other: Control
standard aftercare in hospital/mental health centers of District Psychiatric Service (DPS).
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- considered by the responsible manager to have given consent
- hospitalized, diagnosed and treated such as can be continued in a District Psychiatric Service or a health center.
- stable condition, but anxiety and disruptive behavior may occur to a lesser extent.
- considered to have a perceived need for complex services from specialist health and community for a long time after discharge.
Exclusion Criteria:
- not in a stable phase thus shielding required
Contacts and Locations| Contact: Eirik Roos, Phd student | 004795263222 | eirikroo@ntnu.no |
| Contact: Aslak Steinsbekk, Prof | 004741559076 | aslak.steinsbekk@ntnu.no |
| Norway | |
| Regional Committees for Medical and Health Research Ethics | Not yet recruiting |
| Trondheim, Norway, 7489 | |
| Contact: Eirik Roos 004795263222 eirikroos@ntnu.no | |
| Study Director: | Aslak Steinsbekk, prof | NTNU, Department of Public Health and General Practice |
More Information
No publications provided
| Responsible Party: | Norwegian University of Science and Technology |
| ClinicalTrials.gov Identifier: | NCT01719354 History of Changes |
| Other Study ID Numbers: | 2011/1770 |
| Study First Received: | October 30, 2012 |
| Last Updated: | October 31, 2012 |
| Health Authority: | Norway:National Committee for Medical and Health Research Ethics |
Keywords provided by Norwegian University of Science and Technology:
|
Community Mental Health Centers Norway Aftercare |
Additional relevant MeSH terms:
|
Mental Disorders Psychotic Disorders Schizophrenia and Disorders with Psychotic Features |
ClinicalTrials.gov processed this record on May 23, 2013