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| Name | Class |
|---|---|
| Ontario Ministry of Health and Long Term Care | OTHER_GOV |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention arm | Experimental | Participants will receive brief, intensive case management to connect them to health and social services and supports in the community |
|
| Counseling and Resource Education (CARE) | Active Comparator | Participants will receive care as usual in the community. In addition, participants in this arm will receive an educational session and resource guide outlining available community-based services |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Co-ordinated Access to Care from Hospital Emergency Departments | Other | brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of Emergency Department visits | Baseline, 6 and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in symptom severity | A scales with good psychometric properties, the Colorado Symptom scale, will be used | Baseline, 6 and 12 months |
| Days in hospital | baseline, 6 and 12 months |
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Inclusion Criteria:
Exclusion Criteria:
-
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| Name | Affiliation | Role |
|---|---|---|
| Vicky Stergiopoulos, MD, MHSc | Unity Health Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Michael's Hospital | Toronto | Ontario | M5B 1W8 | Canada | ||
| St. Michael's Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27557705 | Derived | Stergiopoulos V, Gozdzik A, Tan de Bibiana J, Guimond T, Hwang SW, Wasylenki DA, Leszcz M. Brief case management versus usual care for frequent users of emergency departments: the Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) randomized controlled trial. BMC Health Serv Res. 2016 Aug 24;16(1):432. doi: 10.1186/s12913-016-1666-1. |
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| ID | Term |
|---|---|
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D003376 | Counseling |
| ID | Term |
|---|---|
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D003153 | Community Health Services |
| D006296 | Health Services |
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| Coordinated Access to Care from Hospital Emergency Departments | Other | Participants will receive brief, intensive case management to connect them to health and social services and supports in the community |
|
| Counseling and Resource Education | Behavioral | Participants will receive usual care as well as an educational session and resource guide outlining community-based services |
|
| Changes in substance use | The Addiction Severity index will be used | baseline 6 and 12 months |
| Changes in health related quality of life | The SF-12 and EQ-5D will be used | baseline, 6 and 12 months |
| Toronto |
| Ontario |
| M5S 2N9 |
| Canada |
| D005159 | Health Care Facilities Workforce and Services |