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The Utility of the Computerized Assessment and Referral System (CARS) Screener for Mental Health Evaluations in the Emergency Setting

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ClinicalTrials.gov Identifier: NCT03323853
Recruitment Status : Recruiting
First Posted : October 27, 2017
Last Update Posted : January 5, 2018
Sponsor:
Information provided by (Responsible Party):
University of Arkansas

October 17, 2017
October 27, 2017
January 5, 2018
December 30, 2017
December 29, 2018   (Final data collection date for primary outcome measure)
Composite measure in CARS+ patients whose providers have been given a copy of the CARS report versus CARS+ patients whose providers have not been given a copy of the report. [ Time Frame: Up to 12 hours ]
The composite measure includes: the number of CARS mental health diagnoses made in the ED; the number of psychiatry evaluations in the emergency department (ED); and the number of mental health referrals made from the ED.
Same as current
Complete list of historical versions of study NCT03323853 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
Not Provided
 
The Utility of the Computerized Assessment and Referral System (CARS) Screener for Mental Health Evaluations in the Emergency Setting
The Utility of the Computerized Assessment and Referral System (CARS) Screener for Mental Health Evaluations in the Emergency Setting
• The CARS is based on the Composite International Diagnostic Interview (CIDI), a validated instrument for assessing mental health diagnoses (2). According to the CARS manual, "The Computerized Assessment and Referral System (CARS) is the result of a collaboration between the Division on Addiction and the Foundation for Advancing Alcohol Responsibility, a nonprofit organization with a focus on preventing driving under the influence (DUI). CARS adapts questions from the internationally-recognized Composite International Diagnostic Interview (CIDI), a tool designed for lay interviewers who may not have expertise or training in mental health assessment." CARS was piloted at 6 different sites in 2016, all in DUI populations. As CARS has not been specifically validated on non-DUI populations, investigators will collect alcohol history (see below). The CARS self-assessment version (CARS-SA) will be utilized in this study.
Not Provided
Interventional
Not Applicable
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Health Services Research
Mental Health
Other: CARS Report
Patients will be evaluated by emergency providers using the CARS report
  • Experimental: CARS Report
    Intervention: Other: CARS Report
  • No Intervention: No CARS report
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
1130
Same as current
December 29, 2018
December 29, 2018   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • >18 years of age
  • Not incarcerated
  • English-speaking and English-writing (as translators will not be available for this study)

Exclusion Criteria:

  • Unable or unwilling to complete CARS screener
  • Unable or unwilling to provide any history of alcohol abuse
  • Currently presenting with a chief complaint of a psychiatric symptom
  • Currently presenting with a substance use complaint
  • History of a known psychiatric condition
  • Patients taking psychiatric medication
Sexes Eligible for Study: All
18 Years to 99 Years   (Adult, Older Adult)
Yes
Contact: Michael Wilson, MD 501-686-5515 mpwilson@uams.edu
Contact: Samuel Mullinax 501-68-7000 smullinax@uams.edu
United States
 
 
NCT03323853
206914
No
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD: No
University of Arkansas
University of Arkansas
Not Provided
Principal Investigator: Michael P Wilson, MD University of Arkansas
University of Arkansas
January 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP