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| Name | Class |
|---|---|
| St. Olavs Hospital | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Community Health center | Experimental | Aftercare in a community Health center |
|
| Control | Active Comparator | AFtercare as usual in hospital/Mental health centers of District Psychiatric Service (DPS. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Community Health center | Other | Observation of the functioning and coordination of health care before discharge to own home. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Consumption of community health service | Measure different types of community health services in hours per week. | one year |
| Need for community health services | Using IPLOS (Norw. individual-based nursing and care statistics) form with 17 variables to identify patient needs | one year |
| User satisfaction | A qualitative analysis of interviews of 10 patients who have been admitted to the District Psychiatric Service and community health center. | one year |
| Need for community health services | Using individual-based nursing and care statistics (Norw. IPLOS) form with 17 variables to identify patient needs | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Number of treatment days | Number of treatment days in hospital and District Psychiatric Service compared with number of treatment days in community health center. | One year |
| Readmission | Readmission in hospital. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aslak Steinsbekk, prof | NTNU, Department of Public Health and General Practice | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Regional Committees for Medical and Health Research Ethics | Trondheim | 7489 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30419894 | Derived | Roos E, Bjerkeset O, Steinsbekk A. Health care utilization and cost after discharge from a mental health hospital; an RCT comparing community residential aftercare and treatment as usual. BMC Psychiatry. 2018 Nov 12;18(1):363. doi: 10.1186/s12888-018-1941-2. |
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| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D003151 | Community Health Centers |
| ID | Term |
|---|---|
| D000554 | Ambulatory Care Facilities |
| D006268 | Health Facilities |
| D005159 | Health Care Facilities Workforce and Services |
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| Control | Other | standard aftercare in hospital/mental health centers of District Psychiatric Service (DPS). |
|
| One year |
| The total costs of inpatient and total costs of all health care after discharge | Costs per day in hospital; Costs per day for District Psychiatric Service; Costs per day in community health center | One year |