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Coordinated Access to Care From Hospital Emergency Departments (CATCH-ED)

Primary Purpose

Mental Health

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Co-ordinated Access to Care from Hospital Emergency Departments
Coordinated Access to Care from Hospital Emergency Departments
Counseling and Resource Education
Sponsored by
Unity Health Toronto
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Mental Health

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • legal adult status (age 18)
  • able to give informed consent
  • have made 5+ visits to participating hospital Emergency Department in the previous 12 months
  • One of these visits will have been for a mental health and/or addiction problem.

Exclusion Criteria:

-

Sites / Locations

  • St. Michael's Hospital
  • St. Michael's Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Intervention arm

Counseling and Resource Education (CARE)

Arm Description

Participants will receive brief, intensive case management to connect them to health and social services and supports in the community

Participants will receive care as usual in the community. In addition, participants in this arm will receive an educational session and resource guide outlining available community-based services

Outcomes

Primary Outcome Measures

Frequency of Emergency Department visits

Secondary Outcome Measures

Changes in symptom severity
A scales with good psychometric properties, the Colorado Symptom scale, will be used
Days in hospital
Changes in substance use
The Addiction Severity index will be used
Changes in health related quality of life
The SF-12 and EQ-5D will be used

Full Information

First Posted
June 4, 2012
Last Updated
October 29, 2014
Sponsor
Unity Health Toronto
Collaborators
Ontario Ministry of Health and Long Term Care
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1. Study Identification

Unique Protocol Identification Number
NCT01622244
Brief Title
Coordinated Access to Care From Hospital Emergency Departments
Acronym
CATCH-ED
Official Title
Coordinated Access to Care From Hospital Emergency Departments - Assessing Effectiveness and Cost-Effectiveness
Study Type
Interventional

2. Study Status

Record Verification Date
June 2012
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
September 2013 (Actual)
Study Completion Date
September 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Unity Health Toronto
Collaborators
Ontario Ministry of Health and Long Term Care

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study will assess the effectiveness and cost-effectiveness of providing brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems. The goals of the intervention are to support patients' transition to community-based health and social services and supports - including primary and urgent psychiatric care, peer support and other community services and supports - so as to improve patient wellbeing and reduce avoidable ED visits and hospitalizations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mental Health

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
166 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Intervention arm
Arm Type
Experimental
Arm Description
Participants will receive brief, intensive case management to connect them to health and social services and supports in the community
Arm Title
Counseling and Resource Education (CARE)
Arm Type
Active Comparator
Arm Description
Participants will receive care as usual in the community. In addition, participants in this arm will receive an educational session and resource guide outlining available community-based services
Intervention Type
Other
Intervention Name(s)
Co-ordinated Access to Care from Hospital Emergency Departments
Intervention Description
brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems
Intervention Type
Other
Intervention Name(s)
Coordinated Access to Care from Hospital Emergency Departments
Intervention Description
Participants will receive brief, intensive case management to connect them to health and social services and supports in the community
Intervention Type
Behavioral
Intervention Name(s)
Counseling and Resource Education
Intervention Description
Participants will receive usual care as well as an educational session and resource guide outlining community-based services
Primary Outcome Measure Information:
Title
Frequency of Emergency Department visits
Time Frame
Baseline, 6 and 12 months
Secondary Outcome Measure Information:
Title
Changes in symptom severity
Description
A scales with good psychometric properties, the Colorado Symptom scale, will be used
Time Frame
Baseline, 6 and 12 months
Title
Days in hospital
Time Frame
baseline, 6 and 12 months
Title
Changes in substance use
Description
The Addiction Severity index will be used
Time Frame
baseline 6 and 12 months
Title
Changes in health related quality of life
Description
The SF-12 and EQ-5D will be used
Time Frame
baseline, 6 and 12 months

10. Eligibility

Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: legal adult status (age 18) able to give informed consent have made 5+ visits to participating hospital Emergency Department in the previous 12 months One of these visits will have been for a mental health and/or addiction problem. Exclusion Criteria: -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Vicky Stergiopoulos, MD, MHSc
Organizational Affiliation
Unity Health Toronto
Official's Role
Principal Investigator
Facility Information:
Facility Name
St. Michael's Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5B 1W8
Country
Canada
Facility Name
St. Michael's Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5S 2N9
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
27557705
Citation
Stergiopoulos V, Gozdzik A, Tan de Bibiana J, Guimond T, Hwang SW, Wasylenki DA, Leszcz M. Brief case management versus usual care for frequent users of emergency departments: the Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) randomized controlled trial. BMC Health Serv Res. 2016 Aug 24;16(1):432. doi: 10.1186/s12913-016-1666-1.
Results Reference
derived

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Coordinated Access to Care From Hospital Emergency Departments

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