Coordinated Access to Care From Hospital Emergency Departments (CATCH-ED)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2012 by St. Michael's Hospital, Toronto.
Recruitment status was  Recruiting
Sponsor:
Collaborator:
Ontario Ministry of Health and Long Term Care
Information provided by (Responsible Party):
St. Michael's Hospital, Toronto
ClinicalTrials.gov Identifier:
NCT01622244
First received: June 4, 2012
Last updated: December 28, 2012
Last verified: June 2012
  Purpose

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.


Condition Intervention
Mental Health
Other: Co-ordinated Access to Care from Hospital Emergency Departments
Other: Coordinated Access to Care from Hospital Emergency Departments
Behavioral: Counseling and Resource Education

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Coordinated Access to Care From Hospital Emergency Departments - Assessing Effectiveness and Cost-Effectiveness

Resource links provided by NLM:


Further study details as provided by St. Michael's Hospital, Toronto:

Primary Outcome Measures:
  • Frequency of Emergency Department visits [ Time Frame: Baseline, 6 and 12 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Changes in symptom severity [ Time Frame: Baseline, 6 and 12 months ] [ Designated as safety issue: No ]
    A scales with good psychometric properties, the Colorado Symptom scale, will be used

  • Days in hospital [ Time Frame: baseline, 6 and 12 months ] [ Designated as safety issue: No ]
  • Changes in substance use [ Time Frame: baseline 6 and 12 months ] [ Designated as safety issue: No ]
    The Addiction Severity index will be used

  • Changes in health related quality of life [ Time Frame: baseline, 6 and 12 months ] [ Designated as safety issue: No ]
    The SF-12 and EQ-5D will be used


Estimated Enrollment: 166
Study Start Date: November 2012
Estimated Study Completion Date: March 2014
Estimated Primary Completion Date: August 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention arm
Participants will receive brief, intensive case management to connect them to health and social services and supports in the community
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
Other: 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
Active Comparator: Counseling and Resource Education (CARE)
Participants will receive care as usual in the community. In addition, participants in this arm will receive an educational session and resource guide outlining available community-based services
Behavioral: Counseling and Resource Education
Participants will receive usual care as well as an educational session and resource guide outlining community-based services

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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:

-

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01622244

Contacts
Contact: Vicky Stergiopoulos, MD, MHSc 416-864-3085 stergiopoulosv@smh.ca
Contact: Deborah S Wise Harris, M.Ed. 416-864-6060 ext 77359 wiseharrisd@smh.ca

Locations
Canada, Ontario
St. Michael's Hospital Recruiting
Toronto, Ontario, Canada, M5S 2N9
Contact: Marianna Betro    416-864-5521    betrom@smh.ca   
Sub-Investigator: Tim Guimond, MD         
Sub-Investigator: Patricia O'Campo, Ph.D.         
Sub-Investigator: Stephen Hwang, MD, MPH         
St. Michael's Hospital Recruiting
Toronto, Ontario, Canada, M5B 1W8
Principal Investigator: Vicky Stergiopoulos, MHSc, MD, FRCPC         
Sponsors and Collaborators
St. Michael's Hospital, Toronto
Ontario Ministry of Health and Long Term Care
Investigators
Principal Investigator: Vicky Stergiopoulos, MD, MHSc St. Michael's Hospital, Toronto
  More Information

No publications provided

Responsible Party: St. Michael's Hospital, Toronto
ClinicalTrials.gov Identifier: NCT01622244     History of Changes
Other Study ID Numbers: StMichael
Study First Received: June 4, 2012
Last Updated: December 28, 2012
Health Authority: Canada: Ethics Review Committee

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on August 21, 2014