Coordinated Access to Care From Hospital Emergency Departments

NCT ID: NCT01622244

Last Updated: 2014-10-30

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

166 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2014-09-30

Brief Summary

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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.

Detailed Description

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Conditions

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Mental Health

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Intervention arm

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

Group Type EXPERIMENTAL

Co-ordinated Access to Care from Hospital Emergency Departments

Intervention Type OTHER

brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems

Coordinated Access to Care from Hospital Emergency Departments

Intervention Type OTHER

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

Counseling and Resource Education (CARE)

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

Group Type ACTIVE_COMPARATOR

Counseling and Resource Education

Intervention Type BEHAVIORAL

Participants will receive usual care as well as an educational session and resource guide outlining community-based services

Interventions

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Co-ordinated Access to Care from Hospital Emergency Departments

brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems

Intervention Type OTHER

Coordinated Access to Care from Hospital Emergency Departments

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

Intervention Type OTHER

Counseling and Resource Education

Participants will receive usual care as well as an educational session and resource guide outlining community-based services

Intervention Type BEHAVIORAL

Eligibility Criteria

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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

\-
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ontario Ministry of Health and Long Term Care

OTHER_GOV

Sponsor Role collaborator

Unity Health Toronto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vicky Stergiopoulos, MD, MHSc

Role: PRINCIPAL_INVESTIGATOR

Unity Health Toronto

Locations

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St. Michael's Hospital

Toronto, Ontario, Canada

Site Status

St. Michael's Hospital

Toronto, Ontario, Canada

Site Status

Countries

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Canada

References

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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.

Reference Type DERIVED
PMID: 27557705 (View on PubMed)

Other Identifiers

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StMichael

Identifier Type: -

Identifier Source: org_study_id

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