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Evaluating mental health decision units in acute care pathways (DECISION): a quasi-experimental and health economic evaluation

Evaluating mental health decision units in acute care pathways (DECISION): a quasi-experimental and health economic evaluation

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN53431343
Enrollment
1151
Registered
2020-02-11
Start date
2019-09-01
Completion date
Unknown
Last updated
2021-03-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Psychiatric crisis / Mental health crisis Mental and Behavioural Disorders

Interventions

This is an observational study investigating an intervention which is already part of clinical practice. The intervention is ‘mental health decision units’ (also known as ‘psychiatric decision units).

Sponsors

St George's, University of London
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: For patients: 1. First admission to MHDU 2. Capacity to consent to participate in research. For staff: 1. MDHU staff

Exclusion criteria

Exclusion criteria: Does not meet inclusion criteria

Design outcomes

Primary

MeasureTime frame
Note: there is a primary outcome for both mental health trusts and acute trusts. For the longitudinal cohort study, these primary outcomes are: 1. Informal admissions (mental health trust) during the study 2. A&E presentations, as measured as liaison psychiatry episodes (acute trust) during the study

Secondary

MeasureTime frame
Note: there are a large number of secondary outcomes as mental health decision units (MHDUs) are purported to make a difference to these outcomes; the study will enable these claims to be examined. Using patient records, during the study period: 1. Inpatient admissions 2. 0-5 day inpatient admissions 3. Average length of inpatient stay (bed days) 4. Compulsory admissions 5. Use of community mental health team (CMHT) and other mental health trust services Qualitative study: 6. Staff and patient experiences of psychiatric decision units measured using qualitative interviews at the end of the study

Countries

United Kingdom

Contacts

Public ContactLucy Goldsmith
lgoldsmi@sgul.ac.uk+44 (0)208 7250167

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026