Coordinated Access to Care From Hospital Emergency Departments

Mental Health Clinical Trial

— CATCH-ED  

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01622244
• Other study ID #: StMichael
• Status: Completed
• Phase: N/A
• First received: June 4, 2012
• Last updated: October 29, 2014
• Start date: November 2012
• Est. completion date: September 2014

Study information

• Verified date: June 2012
• Source: St. Michael's Hospital, Toronto
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ethics Review Committee
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 166
• Est. completion date: September 2014
• Est. primary completion date: September 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

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:

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Mental Health

Intervention

Other:
• 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
• 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

Behavioral:
• Counseling and Resource Education
Participants will receive usual care as well as an educational session and resource guide outlining community-based services

Locations

Country	Name	City	State
Canada	St. Michael's Hospital	Toronto	Ontario
Canada	St. Michael's Hospital	Toronto	Ontario

Sponsors (2)

Lead Sponsor	Collaborator
St. Michael's Hospital, Toronto	Ontario Ministry of Health and Long Term Care

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Frequency of Emergency Department visits		Baseline, 6 and 12 months	No
Secondary	Changes in symptom severity	A scales with good psychometric properties, the Colorado Symptom scale, will be used	Baseline, 6 and 12 months	No
Secondary	Days in hospital		baseline, 6 and 12 months	No
Secondary	Changes in substance use	The Addiction Severity index will be used	baseline 6 and 12 months	No
Secondary	Changes in health related quality of life	The SF-12 and EQ-5D will be used	baseline, 6 and 12 months	No