Mental Disorders
Conditions
Keywords
Community Mental Health Centers, Norway, Aftercare
Brief summary
This is a trial to examine the effects of aftercare for mental health patients in community health center (Leistad). Recruitment occurs among hospitalized patients in psychiatric hospitals (Østmarka). After discharge, patients will be randomly assigned to one of two groups: intervention group (community health center, primary care) or control group (Community mental health centers of District Psychiatric Service, specialist care). The project's primary objective is to investigate the effect of community services on patients' functional capacity and user satisfaction after discharge. Secondly, the number of treatment days and readmissions to mental health care will be examined. The project will also compare costs of hospitalization, in psychiatric hospital and community health center respectively. Data will be collected from community health records, medical records and patient systems in psychiatric hospital, community mental health centers of District Psychiatric Service (DPS) and questionnaires filled out by patients.
Interventions
OTHERCommunity Health center
Observation of the functioning and coordination of health care before discharge to own home.
OTHERControl
standard aftercare in hospital/mental health centers of District Psychiatric Service (DPS).
Sponsors
St. Olavs Hospital
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* considered by the responsible manager to have given consent * hospitalized, diagnosed and treated such as can be continued in a District Psychiatric Service or a health center. * stable condition, but anxiety and disruptive behavior may occur to a lesser extent. * considered to have a perceived need for complex services from specialist health and community for a long time after discharge.
Exclusion criteria
* not in a stable phase thus shielding required
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Consumption of community health service | one year | Measure different types of community health services in hours per week. |
| Need for community health services | one year | Using IPLOS (Norw. individual-based nursing and care statistics) form with 17 variables to identify patient needs |
| User satisfaction | one year | A qualitative analysis of interviews of 10 patients who have been admitted to the District Psychiatric Service and community health center. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of treatment days | One year | Number of treatment days in hospital and District Psychiatric Service compared with number of treatment days in community health center. |
| Readmission | One year | Readmission in hospital. |
| The total costs of inpatient and total costs of all health care after discharge | One year | Costs per day in hospital; Costs per day for District Psychiatric Service; Costs per day in community health center |
Countries
Norway
Outcome results
None listed