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Completed

NCT Number: NCT01622244

Coordinated Access to Care From Hospital Emergency Departments

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.

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Key information

Conditions

Mental Health Behavior Personal Satisfaction Psychological Well-Being

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

St. Michael's Hospital, Toronto, Ontario, Canada

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

-

Treatment and study plan

Co-ordinated Access to Care from Hospital Emergency Departments

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

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

Behavioral

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

Primary outcomes

  1. Frequency of Emergency Department visits

    Time frame: Baseline, 6 and 12 months

Secondary outcomes

  1. Changes in symptom severity

    Time frame: Baseline, 6 and 12 months

    A scales with good psychometric properties, the Colorado Symptom scale, will be used

  2. Days in hospital

    Time frame: baseline, 6 and 12 months

  3. Changes in substance use

    Time frame: baseline 6 and 12 months

    The Addiction Severity index will be used

  4. Changes in health related quality of life

    Time frame: baseline, 6 and 12 months

    The SF-12 and EQ-5D will be used

Sponsors and collaborators

Lead sponsor

Unity Health Toronto

Other

Collaborators

  • Ontario Ministry of Health and Long Term Care

Registry information

Official study title

Coordinated Access to Care From Hospital Emergency Departments - Assessing Effectiveness and Cost-Effectiveness

Acronym: CATCH-ED

Important dates

Study start
2012
Primary completion
2013
Study completion
2014
First posted
Jun 19, 2012
Registry last updated
Oct 30, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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