Patient-Centered Alternative to Psychiatric Hospitalization for Veterans

NCT ID: NCT00013169

Last Updated: 2015-04-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Completion Date

2002-09-30

Brief Summary

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A variety of models of psychiatric hospital alternative care have been developed over the past several decades. San Diego�s Short-Term Acute Residential Treatment (START) model is one of the best established of these alternatives, comprising a network of 6 facilities with a total of 77 beds. Although veterans have been among those served at START programs for many years, no previous study of START or any other model has focused specifically on veterans.

Detailed Description

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Background:

A variety of models of psychiatric hospital alternative care have been developed over the past several decades. San Diego�s Short-Term Acute Residential Treatment (START) model is one of the best established of these alternatives, comprising a network of 6 facilities with a total of 77 beds. Although veterans have been among those served at START programs for many years, no previous study of START or any other model has focused specifically on veterans.

Objectives:

The study tested the hypotheses that veterans treated in a START program would demonstrate greater improvement in symptoms and quality of life, as well as greater satisfaction with treatment and lower costs of care than veterans treated at the VA inpatient unit.

Methods:

This study includes elements of both efficacy and effectiveness studies. VA psychiatric unit treatment and START are compared in a randomized trial, with follow up of subjects at 2, 6, and 12 months as they experience real-world treatment-as-usual. Symptoms, functioning, quality of life, and satisfaction with services are assessed on multiple standardized measures, as well as by qualitative assessments.

Status:

Final report is under preparation.

Conditions

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Veterans Acute Hospitalization

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1

Group Type OTHER

Strong Patient Focus

Intervention Type BEHAVIORAL

Interventions

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Strong Patient Focus

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Have to a veteran and in need of acute hospitalization, but able to take care of themselves. (Max Age is 59)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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US Department of Veterans Affairs

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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James B Lohr, MD BA

Role: PRINCIPAL_INVESTIGATOR

VA San Diego Healthcare System, San Diego, CA

Locations

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VA San Diego Healthcare System, San Diego, CA

San Diego, California, United States

Site Status

Countries

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United States

References

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Ta S, Goldzweig C, Juzba M, Lee M, Wenger N, Yano EM, Asch S. Addressing physician concerns about performance profiling: experience with a local Veterans Affairs quality evaluation program. Am J Med Qual. 2009 Mar-Apr;24(2):123-31. doi: 10.1177/1062860608330828. Epub 2009 Feb 19.

Reference Type RESULT
PMID: 19228893 (View on PubMed)

Other Identifiers

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PCC 98-051

Identifier Type: -

Identifier Source: org_study_id

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NCT00555568 COMPLETED NA