Schizophrenia Clinical Trial
Official title:
Patient Guided Psychiatric Admissions (Self-referral to Inpatient Beds)
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".
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.
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