Evaluation of Case Management for First Episode Psychosis Using the PEPsy-CM Checklist

First Episode Psychosis Clinical Trial

— CHECKLISTPEP  

Official title:

Evaluation of Case Management for First Episode Psychosis Using the PEPsy-CM Checklist

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05737966
• Other study ID #: LOCAL/2022/RP
• Status: Completed
• Start date: February 1, 2023
• Est. completion date: September 1, 2023

Study information

• Verified date: September 2023
• Source: Centre Hospitalier Universitaire de Nimes
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Psychotic disorders are often chronic conditions that lead to impaired functioning, quality of life and social integration. Current research and recommendations for good practice are moving towards early detection and intervention. It is recognized that this leads to better adherence, alliance to care and knowledge of pathology for the patient, especially in young patients. For more than a decade, early intervention services (EIS) are opened in France over an increasingly large territory. Still too few studies assess the impact of these structures in France. These EIS offer a multimodal intervention (social, professional, psychotherapeutic). The intervention of case managers (or care coordinators in french) seems to be the core of EIS. The case manager has a fundamental role in the process of recovery in coordinating each individual's treatment and ensuring continuity of care.

The PEPsy-CM study aims to evaluate the effectiveness on the relapse rate of a 3 year Program for Early Psychosis based on Case Management (PEPsy-CM) compared to TAU in a population of young people with a FEP.

A qualitative evaluation of case management practice in EIS seems essential to assess the impact of case managers under real conditions.

Based on the Australian Good Practice Recommendations (EPICC integrity tools) and the case management practice manuals, the PEPsy-CM check-list questionnaire was developed to evaluate the practice of case management in the EIS in France. This check-list contains different 35 items. The final score between 1(poor) to 5 (good) is established to determine the quality of the case management. Qualitative data are also collected during the interview with the participants.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: September 1, 2023
• Est. primary completion date: September 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

• Professional working in an early intervention center treating first episodes of psychosis

• Professional involved in the organization/management of the center or practicing case management.

Exclusion Criteria:

• Professional not working in the early intervention center

• Professional working in the early intervention center but not having a role in the organization or management of the center or as case manager

• Professional who does not take charge of people who have had a first psychotic episode

Related Conditions & MeSH terms

• First Episode Psychosis
• Mental Disorders
• Psychotic Disorders

Intervention

Other:
• evaluation of professional practices
Evaluation of professional practices : evaluation of the case management carried out in a program for early psychosis in France using a checklist according good practices guidelines

Locations

Country	Name	City	State
France	Schandrin	Nîmes

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier Universitaire de Nimes

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of the case management manual (yes or no)	1 year
Primary	conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of specific and validated tools for Psychoeducation (yes or no)	1 year
Primary	conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of an information brochure on First Episode Psychosis (yes or no)	1 year
Primary	conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of specific and validated tools to support families (yes or no)	1 year
Primary	conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of specific and validated tools for Motivational Interviewing (yes or no)	1 year
Primary	conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Presence of Individualized Therapeutic Plan (ITP) supervision system (yes or no)	1 year
Primary	conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of Individualized Therapeutic Plan (ITP) supervision system (yes or no)	1 year
Secondary	description of the global organisation of each center	Number of staff by trade	1 year
Secondary	description of their involvement in the early intervention center	number of years experience	1 year