COFI - Comparing Functional and Integrated systems of mental health care

Conditions

Serious mental illness (ICD-10 codes F2 to F4) Mental and Behavioural Disorders

Smith P, Nicaise P, Giacco D, Bird VJ, Bauer M, Ruggeri M, Welbel M, Pfennig A, Lasalvia A, Moskalewicz J, Priebe S, Lorant V.

2020-05-1416 citations

10.1007/s00127-020-01881-1

The same or different psychiatrists for in- and out-patient treatment? A multi-country natural experiment

Domenico Giacco, Victoria Bird, Tahania Ahmad, Michael Bauer, Antonio Lasalvia et al. (12 authors)

Epidemiology and Psychiatric Sciences2018-12-1821 citations

10.1017/s2045796018000732

In-patient treatment in functional and sectorised care: patient satisfaction and length of stay.

Bird VJ, Giacco D, Nicaise P, Pfennig A, Lasalvia A, Welbel M, Priebe S.

2018-02-0113 citations

10.1192/bjp.2017.20

Specialised teams or personal continuity across inpatient and outpatient mental healthcare? Study protocol for a natural experiment

Domenico Giacco, Victoria Bird, Paul McCrone, Vincent Lorant, Pablo Nicaise et al. (12 authors)

BMJ Open2015-11-0121 citations

10.1136/bmjopen-2015-008996

Interventions

Two types of mental health systems, co-existing in the participating countries, will be compared in a natural experiment: 1. In integrated systems, after hospital admission the same clinician (psychia

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. 18 years of age or older of any gender 2. Diagnosis of psychotic disorder (F20-29), affective disorder (F30-39) or anxiety disorder (F40-49) 3. Being hospitalised in a psychiatric inpatient unit 4. Sufficient command of the language of the host country to provide written informed consent and understand the questions in the research interviews 5. Capacity to provide informed consent

Exclusion criteria

Exclusion criteria: 1. Diagnosis of organic brain disorders 2. Too severe cognitive impairment for providing meaningful information on the study instruments

Design outcomes

Primary

Measure	Time frame
Re-hospitalisation rates	—

Secondary

Measure	Time frame
1. Clinical outcomes: number of re-hospitalisations, compulsory re-hospitalisations, community treatment orders and yearly inpatient bed days. 2. Social outcomes: employment, accommodation, living situation, friendships, total social contacts, perceived socio-economic status and experienced discrimination. 3. Safety of care: deaths, completed suicides, serious assaults committed by patients, physical violence experienced by patients, suicide attempts, serious side effects from treatment requiring hospitalisation. 4. Costs of care: costs related to the use of inpatient services, outpatient services, day centres and other community health services. 5. Patient reported outcomes: subjective quality of life, satisfaction with care. 6. Quality of care: therapeutic alliance, continuity of care, clinical decision making processes and adherence of interventions received by patients to guidelines.	—

Measure

Time frame

1. Clinical outcomes: number of re-hospitalisations, compulsory re-hospitalisations, community treatment orders and yearly inpatient bed days. 2. Social outcomes: employment, accommodation, living situation, friendships, total social contacts, perceived socio-economic status and experienced discrimination. 3. Safety of care: deaths, completed suicides, serious assaults committed by patients, physical violence experienced by patients, suicide attempts, serious side effects from treatment requiring hospitalisation. 4. Costs of care: costs related to the use of inpatient services, outpatient services, day centres and other community health services. 5. Patient reported outcomes: subjective quality of life, satisfaction with care. 6. Quality of care: therapeutic alliance, continuity of care, clinical decision making processes and adherence of interventions received by patients to guidelines.

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Countries

Belgium, England, Germany, Italy, Poland, United Kingdom

Outcome results

None listed