Skip to main content
OpenTrials
Completed

NCT Number: NCT01133587

Patient Guided Psychiatric Admissions

To meet the requirement for increased patient involvement, several Community Mental Health Centres (CMHC) have initiated a service called "patient-guided admissions". The investigators will compare a group with "patient guided admission/self-referral to inpatient beds" with a group having treatment as usual.

It is expected that patients in the intervention group will experience more increased feeling of coping (patient activation) after 4 months and 12 months as a result of participating in "patient-guided admissions" than patients getting treatment as usual. In addition the total number of inpatient days either in the CMHC, psychiatric hospital or community rehabilitation centre is expected to be clearly lower in the intervention group than in the 'treatment-as-usual' group during one year after intake. Also the number of involuntary admissions either as inpatient or outpatient will be significant lower in the intervention group than the 'treatment-as-usual' group.The number of admissions in CMHC and psychiatric hospital, as well as the number of outpatient consultations in primary care, CMHC and psychiatric hospitals, will be lower in the intervention group than in the 'treatment-as-usual' group. Patients in the intervention group will experience improved mental health, increased feeling of coping (patient activation) and increased experience of recovery after 4 months and 12 months as a result of participating in "patient-guided admissions".

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Schizophrenia Bipolar Disorder Bipolar and Related Disorders Mental Disorders Mood Disorders Schizophrenia Spectrum and Other Psychotic Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

St.Olavs hospital, Psykisk helsevern, Nidaros DPS

Trondheim, 7440, Norway

About this study

Participants will be patients with psychosis or bipolar disorders. Patients in the intervention group will have a contract on "self-referral to inpatient beds" for one year. They can call the CMHC directly and ask for a bed for until 5 nights.

The patients in the 'treatment-as-usual' group will follow common procedures by either contacting their general practitioner, emergency department or duty doctor, and they will be offered a "self-referral to inpatient bed" contract after a year if they satisfy the inclusion criteria.

Regardless of the participation in the intervention group, the patients can also be ordinary admitted during the project period by a doctor via regular procedures in both hospital and CMHC if there is a need for this. All admissions will appear in the register data.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • schizophrenia or bipolar disorder
  • long term care
  • established relationship with the ward

Exclusion criteria

  • extensive substance use problems
  • self-destructive behavior
  • not able to consent

Treatment and study plan

Wait list control

Other

Patient-guided admissions contract regarding "patient-guided admissions" starting a year after.

admissions contract

Behavioral

contract regarding "patient-guided admissions" starting immediately

Primary outcomes

  1. Patient activation/coping

    Time frame: 4 months

    Patient Activation Measure (PAM 13)

  2. Patient activation/coping

    Time frame: 12 months

    Patient Activation Measure (PAM 13)

Secondary outcomes

  1. Number of admissions

    Time frame: 12 months

    Number of admissions in CMHC, psychiatric hospital of community rehabilitation centre

  2. Total number of inpatient days

    Time frame: 12 months

    Total number of inpatient days in CMHC, psychiatric hospital or community rehabilitation centre

  3. Number of outpatient consultations

    Time frame: 12 months

    Number of outpatient consultations in primary care, in CMHC and psychiatric hospital

  4. Number of involuntary admissions

    Time frame: 12 months

    Number of involuntary admissions either as inpatient or outpatient

  5. Symptoms/functioning and recovery

    Time frame: 4 months

    Behavior and symptom identification scale (BASIS 32) and Recovery Assessment Scale (RAS 24)

  6. Symptoms/functioning and recovery

    Time frame: 12 months

    Behavior and symptom identification scale (BASIS 32) and Recovery Assessment Scale (RAS 24)

Sponsors and collaborators

Lead sponsor

St. Olavs Hospital

Other

Registry information

Official study title

Patient Guided Psychiatric Admissions (Self-referral to Inpatient Beds)

Important dates

Study start
2010
Primary completion
2013
Study completion
2013
First posted
May 31, 2010
Registry last updated
Apr 4, 2017

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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.