Back to resultsEmergency Linkage to Outpatient Psychiatric Services
Primary Purpose
Emergency Services, Psychiatric
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
mobile crisis team
Sponsored by
About this trial
This is an interventional treatment trial for Emergency Services, Psychiatric focused on measuring Mental Health Services, Suicide, Suicide ideation
Eligibility 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.
Sites / Locations
- University of Rochester Medical Center
Outcomes
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.
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,
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.
Full Information
NCT ID
NCT00278811
First Posted
January 16, 2006
Last Updated
October 20, 2015
Sponsor
University of Rochester
Collaborators
National Institute of Mental Health (NIMH)
1. Study Identification
Unique Protocol Identification Number
NCT00278811
Brief Title
Emergency Linkage to Outpatient Psychiatric Services
Official Title
Emergency Linkage to Outpatient Psychiatric Services
Study Type
Interventional
2. Study Status
Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
April 2003 (undefined)
Primary Completion Date
March 2006 (Actual)
Study Completion Date
March 2006 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Rochester
Collaborators
National Institute of Mental Health (NIMH)
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
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.
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.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Emergency Services, Psychiatric
Keywords
Mental Health Services, Suicide, Suicide ideation
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Single
Allocation
Randomized
Enrollment
120 (Actual)
8. Arms, Groups, and Interventions
Intervention Type
Procedure
Intervention Name(s)
mobile crisis team
Primary Outcome Measure Information:
Title
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 Measure Information:
Title
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
Title
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
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility 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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Glenn W. Currier, M.D., M.P.H.
Organizational Affiliation
University of Rochester
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Rochester Medical Center
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Emergency Linkage to Outpatient Psychiatric Services
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