Crisis; Emotional, Mental Health Disorder, Mental Health Impairment, Psychiatric Emergency
Conditions
Brief summary
The goal of this study is to evaluate if admission to the Mental Health Virtual Ward (MH vWard) for mental health crisis stabilization is having a meaningful positive impact on patient reported outcomes and healthcare utilization. The objectives of this study are: 1. Prospectively measure demographic, recovery, service delivery, and systems use outcomes in a cohort of MH vWard admissions. 2. establish this cohort for use in future research. As part of the intervention, participants will receive care in the MH vWard for an average of 5 days following a visit to an emergency department or crisis centre for a mental health crisis. While admitted to the MH vWard, participants will: 1. Engage in individual therapy and care planning with a clinician or psychiatry team. 2. Have engagement with formal (community providers) and informal supports (family, friends) for collateral and collaboration. 3. Receive medication reconciliation and management. 4. Participate in group programming. 5. Receive referrals for follow-up services. 6. Have access to after hours support. 7. Have access to the Telus Home Health Monitoring (HHM) App, which is custom designed to complement the services provided by the program.
Interventions
BEHAVIORALVirtual crisis stabilization support with a multi-disciplinary team
Daily 1:1 sessions with multidisciplinary team via a range of virtual modalities (videoconferencing, phone, text, email), group programming, self-management resources, remote home monitoring app, referrals and linkages to community programs.
Sponsors
Health Sciences Centre Foundation, Manitoba
University of Manitoba
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Individuals admitted to the Mental Health Virtual Ward.
Exclusion criteria
* None.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The World Health Organization-Five (WHO-5) Well-Being Index | 1 week, 5 weeks and 6 months from date of discharge | The World Health Organization-Five (WHO-5) Well-Being Index is a questionnaire used for the assessment of subjective psychological well-being. Five questions are answered on a scale of 1-5 (0 meaning the individual agrees with the statement at no time, 5 meaning they agree with the statement all of the time). Minimum value: 0 Maximum value: 25 A higher score represents better quality of life and well-being, a lower score represents lower quality of life and well-being. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-discharge Healthcare Utilization (self-report) | 1 week post discharge, 5 weeks post discharge and 6 months from date of discharge | Number of participants who self-report further healthcare utilization following discharge from the virtual ward (all participants) Systems use outcomes will include: emergency department visits, crisis centre visits, and psychiatric hospitalizations collected by self-report. Patients can answer questionnaires electronically, over the phone, or in person with a member of the research team. |
| Post-discharge Healthcare Utilization (administrative data) | 1 week post discharge, 5 weeks post discharge and 6 months from date of discharge | Number of participants with administrative data supporting further healthcare utilization following discharge from the virtual ward (urban participants only) Systems use outcomes will include: emergency department visits, crisis centre visits, and psychiatric hospitalizations collected via healthcare administrative data. This data will be used to collect some systems use outcomes data on participants lost to follow-up in the study, as well as allow for the assessment of recall bias when compared to self-reporting of healthcare utilization. |
| Maryland Assessment of Recovery Scale-Twelve (MARS-12) | 1 week post discharge, 5 weeks post discharge, 6 months post-discharge | Maryland Assessment of Recovery Scale-Twelve (MARS-12) contains a list of statements about an individuals subjective attitude and beliefs towards their own health an wellness. Twelve questions are answered on a scale from 1-5 (1 meaning the participant not at all agrees with the statement, 5 meaning the participant very much agrees with the statement). Minimum value: 12 Maximum value: 60 A higher score represents a higher personal recovery post-discharge, a lower score represent a lower personal recovery post-discharge. |
Countries
Canada
Outcome results
None listed