Hepatitis C in Severe Mental Disorders: Nursing Programme (HEPASAME21)
Hepatitis C, Severe Mental Disorder
About this trial
This is an interventional health services research trial for Hepatitis C focused on measuring Clinical Paths, Patient Care Planning, Hepatitis C, Severe Mental Disorders
Eligibility Criteria
Inclusion Criteria:
- Severe mental disorder
- Hepatitis C positive with viral load
Exclusion Criteria:
- Patients who have contraindicated HCV treatment for any reason
- Patients in a clear situation of psychopathological decompensation (until recovery)
- Patients does not agree to participate
Sites / Locations
- Regional Hospital of MálagaRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
As usual
Nurse-Navigation Programme
Patients will be directly referred to their family doctor with a report on the data obtained in the analysis (presence of HCV and positive viral load), so that they can follow the usual treatment (as usual) in these cases in the Andalusian Health Service. The usual treatment implies, once the presence of Virus C has been confirmed, referral by the patient's family doctor to the specialized service, in this case the Gastroenterology Service of the referral Hospital, through the usual appointment procedure. Generally the delay in this process is usually approx. 2-3 months for the first appointment.
A Clinical Pathway (CP) of nursing monitoring will be activated, that is, patients will be accompanied throughout the evaluation and treatment process until their complete cure is guaranteed. CP will include the activation of care in the Gastroenterology Service by the nurse. By requesting a first appointment in the Gastroenterology Service, via email, the nurse will activate the patients' access to this first appointment, which consist in a one-step intervention: liver evaluation analysis on the genotype, determine the most appropriate type of treatment and, dispensing treatment by the Hospital Pharmacy Unit. To guarantee attendance, in all cases the patient will be accompanied, either by a competent available family caregiver, or by the mental health nursing team. All the intervention will be operationalized through the mentioned CP developed for this purpose, with the participation of those involved.