Outcomes in Youth Visiting the ED With Mental Health Issues: a Pilot Text Based Intervention

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02744326
Recruitment Status : Unknown
Verified April 2016 by Children's Hospitals and Clinics of Minnesota.
Recruitment status was:  Not yet recruiting
First Posted : April 20, 2016
Last Update Posted : April 20, 2016
Information provided by (Responsible Party):
Children's Hospitals and Clinics of Minnesota

Brief Summary:

The investigators will conduct a prospective study and a randomized controlled trial (RCT) involving children and adolescents presenting with a primary mental health (MH) concern to the emergency departments (EDs) of Children's Hospitals and Clinics of Minnesota (CH). The investigators will characterize the primary MH concerns of 800 patients and assess their baseline access to and utilization of external resources. All enrolled patients will be followed 3-months after their initial visit to determine ED revisits and identify factors associated with connection to outpatient care. The RCT portion of the study will involve 200 patients discharged from the ED with a referral to an outpatient MH provider, and will test a novel text-message communication method by which parents/caregivers can be encouraged to complete follow-up care for their child. The experimental group will receive tailored text message reminders regarding follow-up appointments.

Relevance: Pediatric ED visits for MH issues are increasing, but the current system of managing these patients is not optimal. More information is needed to accelerate change and to efficiently invest in improving services available to MH patients. Specifically, information is needed on which MH populations need to be targeted, and on simple, reproducible interventions which improve connection with community resources. The proposed study will collect vital information needed to develop programs that improve outcomes and reduce ED revisits in pediatric patients visiting the EDs at CH with primary MH concerns, and will set the stage for future work focused on improving core and outcomes for MH youth.

Condition or disease Intervention/treatment Phase
Mental Health Disorder Mental and Behavioral Disorder Self-inflicted Injury Behavioral: Text message reminders Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 800 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Improving Outcomes for Youth Visiting the Emergency Department With Mental Health Issues
Study Start Date : April 2016
Estimated Primary Completion Date : April 2017
Estimated Study Completion Date : April 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Mental Health

Arm Intervention/treatment
Experimental: Text message reminder group
A subset of patients discharged from the ED with an outpatient referral will be randomized to receive text message reminders to attend or schedule a follow-up outpatient referral.
Behavioral: Text message reminders
Patients assigned to the intervention group will receive a series of 7 to 10 text message reminders to schedule or attend their follow-up appointment.

No Intervention: Usual Care group
A subset of patients discharged from the ED with an outpatient referral will be randomized to receive the usual standard of care.

Primary Outcome Measures :
  1. Outpatient care post Emergency Department Visit [ Time Frame: 3 months ]
    Did the patient attend follow-up outpatient care visit(s) after visiting the ED

Secondary Outcome Measures :
  1. Emergency Department return visit [ Time Frame: 3 months ]
    Did the patient return to the Emergency Department for a mental health related reason, in the 3 months following the initial visit.

Information from the National Library of Medicine

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Ages Eligible for Study:   up to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age 0-17.999 years
  • Assessed by social work in the ED for mental health concern
  • Parent present and able to consent
  • Phone able to receive text messages (for RCT portion only)

Exclusion Criteria:

  • Non-English Speaking parents
  • Medical condition preventing enrollment, such as a condition which requires immediated hospital procedures or admission
  • Suspected abuse

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02744326

Contact: Gretchen Cutler, PhD
Contact: Kristin Frenn, MPH

Sponsors and Collaborators
Children's Hospitals and Clinics of Minnesota
Principal Investigator: Gretchen Cutler, PhD Children's Hospitals and Clinics of Minnesota


Responsible Party: Children's Hospitals and Clinics of Minnesota Identifier: NCT02744326     History of Changes
Other Study ID Numbers: 1603-026
First Posted: April 20, 2016    Key Record Dates
Last Update Posted: April 20, 2016
Last Verified: April 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Additional relevant MeSH terms:
Problem Behavior
Mental Disorders
Self Mutilation
Pathologic Processes
Behavioral Symptoms
Wounds and Injuries
Self-Injurious Behavior