Mental Health
Conditions
Brief summary
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.
Interventions
OTHERCo-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
OTHERCoordinated 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
BEHAVIORALCounseling and Resource Education
Participants will receive usual care as well as an educational session and resource guide outlining community-based services
Sponsors
Ontario Ministry of Health and Long Term Care
Unity Health Toronto
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
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
\-
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of Emergency Department visits | Baseline, 6 and 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in symptom severity | Baseline, 6 and 12 months | A scales with good psychometric properties, the Colorado Symptom scale, will be used |
| Days in hospital | baseline, 6 and 12 months | — |
| Changes in substance use | baseline 6 and 12 months | The Addiction Severity index will be used |
| Changes in health related quality of life | baseline, 6 and 12 months | The SF-12 and EQ-5D will be used |
Countries
Canada
Outcome results
None listed