Computerized Assessment and Referral System Screener for Mental Health Evaluations in the Emergency Setting

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

451 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-30

Study Completion Date

2019-12-21

Brief Summary

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This is a hybrid effectiveness-implementation randomized controlled trial which will be conducted at the emergency department (ED) at the University of Arkansas for Medical Sciences (UAMS) in Little Rock, Arkansas.

The hypothesis of this study is that use of the CARS (a computerized mental health screener) will modify emergency department treatment of patients with previously undiagnosed mental illness.

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Detailed Description

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This pragmatic mixed methods clinical trial will compare the intervention of providing a CARS screener report to emergency providers to not providing the report. It will also collect qualitative data regarding implementation of the CARS screener and report. Consecutive patients presenting when a research associate is available will be approached to participate. Patients will be approached after evaluation by an emergency physician.

The Computerized Assessment and Referral System (CARS) is based on the Composite International Diagnostic Interview (CIDI), a validated instrument for assessing mental health diagnoses.CARS was piloted at 6 different sites in 2016, all in DUI populations. As CARS has not been specifically validated on non-DUI populations, investigators will collect alcohol history (see below). The CARS self-assessment version (CARS-SA) will be utilized in this study.

Conditions

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Mental Health

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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CARS-SA Report

Emergency care providers for subjects in this group will receive a copy of the subject's CARS-SA summary results.

Group Type EXPERIMENTAL

Computerized Assessment and Referral System (CARS) Self-Assessment Screener

Intervention Type BEHAVIORAL

Subjects will take the CARS-SA Screener.

CARS-SA Summary Results

Intervention Type BEHAVIORAL

Subjects will be evaluated by emergency care providers using the CARS-SA Summary Results Report.

No CARS-SA Report

Emergency care providers for subjects in this group will not receive a copy of the subject's CARS-SA summary results.

Group Type OTHER

Computerized Assessment and Referral System (CARS) Self-Assessment Screener

Intervention Type BEHAVIORAL

Subjects will take the CARS-SA Screener.

Interventions

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Computerized Assessment and Referral System (CARS) Self-Assessment Screener

Subjects will take the CARS-SA Screener.

Intervention Type BEHAVIORAL

CARS-SA Summary Results

Subjects will be evaluated by emergency care providers using the CARS-SA Summary Results Report.

Intervention Type BEHAVIORAL

Other Intervention Names

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CARS-SA Screener CARS-SA Report

Eligibility Criteria

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Inclusion Criteria

* \>18 years of age
* Not incarcerated
* English-speaking and English-writing (as translators will not be available for this study)

Exclusion Criteria

* Unable or unwilling to complete CARS screener
* Unable or unwilling to provide any history of alcohol abuse
* Currently presenting with a chief complaint of a psychiatric symptom
* Currently presenting with a substance use complaint
* History of a known psychiatric condition
* Patients taking psychiatric medication

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes