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Patient Guided Psychiatric Admissions

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
St. Olavs Hospital
ClinicalTrials.gov Identifier:
NCT01133587
First received: May 19, 2010
Last updated: November 4, 2014
Last verified: November 2014

May 19, 2010
November 4, 2014
May 2010
December 2013   (final data collection date for primary outcome measure)
  • Patient activation/coping [ Time Frame: 4 months ] [ Designated as safety issue: No ]
    Patient Activation Measure (PAM 13)
  • Patient activation/coping [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Patient Activation Measure (PAM 13)
  • Recovery [ Time Frame: 0-6 months ] [ Designated as safety issue: No ]
    Recovery Assessment Scale (RAS 24)
  • Coping [ Time Frame: o-6 months ] [ Designated as safety issue: No ]
    Patient Activation Measure (PAM)
  • Symptoms and functioning [ Time Frame: 0-6 months ] [ Designated as safety issue: No ]
    Behavior and symptom identification scale (BASIS 32)
  • Community and hospital mental health services [ Time Frame: 0-12 months ] [ Designated as safety issue: No ]
    Admission time and outpatient treatment
Complete list of historical versions of study NCT01133587 on ClinicalTrials.gov Archive Site
  • Number of admissions [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Number of admissions in CMHC, psychiatric hospital of community rehabilitation centre
  • Total number of inpatient days [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Total number of inpatient days in CMHC, psychiatric hospital or community rehabilitation centre
  • Number of outpatient consultations [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Number of outpatient consultations in primary care, in CMHC and psychiatric hospital
  • Number of involuntary admissions [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Number of involuntary admissions either as inpatient or outpatient
  • Symptoms/functioning and recovery [ Time Frame: 4 months ] [ Designated as safety issue: No ]
    Behavior and symptom identification scale (BASIS 32) and Recovery Assessment Scale (RAS 24)
  • Symptoms/functioning and recovery [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Behavior and symptom identification scale (BASIS 32) and Recovery Assessment Scale (RAS 24)
Not Provided
Not Provided
Not Provided
 
Patient Guided Psychiatric Admissions
Patient Guided Psychiatric Admissions (Self-referral to Inpatient Beds)

To meet the requirement for increased patient involvement, several Community Mental Health Centres (CMHC) have initiated a service called "patient-guided admissions". The investigators will compare a group with "patient guided admission/self-referral to inpatient beds" with a group having treatment as usual.

It is expected that patients in the intervention group will experience more increased feeling of coping (patient activation) after 4 months and 12 months as a result of participating in "patient-guided admissions" than patients getting treatment as usual. In addition the total number of inpatient days either in the CMHC, psychiatric hospital or community rehabilitation centre is expected to be clearly lower in the intervention group than in the 'treatment-as-usual' group during one year after intake. Also the number of involuntary admissions either as inpatient or outpatient will be significant lower in the intervention group than the 'treatment-as-usual' group.The number of admissions in CMHC and psychiatric hospital, as well as the number of outpatient consultations in primary care, CMHC and psychiatric hospitals, will be lower in the intervention group than in the 'treatment-as-usual' group. Patients in the intervention group will experience improved mental health, increased feeling of coping (patient activation) and increased experience of recovery after 4 months and 12 months as a result of participating in "patient-guided admissions".

Participants will be patients with psychosis or bipolar disorders. Patients in the intervention group will have a contract on "self-referral to inpatient beds" for one year. They can call the CMHC directly and ask for a bed for until 5 nights.

The patients in the 'treatment-as-usual' group will follow common procedures by either contacting their general practitioner, emergency department or duty doctor, and they will be offered a "self-referral to inpatient bed" contract after a year if they satisfy the inclusion criteria.

Regardless of the participation in the intervention group, the patients can also be ordinary admitted during the project period by a doctor via regular procedures in both hospital and CMHC if there is a need for this. All admissions will appear in the register data.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
  • Schizophrenia
  • Bipolar Disorder
  • Other: wait list control
    Patient-guided admissions contract regarding "patient-guided admissions" starting a year after.
  • Behavioral: admissions contract
    contract regarding "patient-guided admissions" starting immediately
  • Experimental: admissions contract
    contract regarding "patient-guided admissions"
    Intervention: Behavioral: admissions contract
  • Active Comparator: wait list control
    1 year on waiting list
    Intervention: Other: wait list control
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
53
December 2013
December 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • schizophrenia or bipolar disorder
  • long term care
  • established relationship with the ward

Exclusion Criteria:

  • extensive substance use problems
  • self-destructive behavior
  • not able to consent
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Norway
 
NCT01133587
2009/1704, 2009/1704
No
St. Olavs Hospital
St. Olavs Hospital
Not Provided
Principal Investigator: Lasse Eriksen, PhD St. Olavs Hospital
St. Olavs Hospital
November 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP