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| Name | Class |
|---|---|
| Health Sciences Centre Foundation, Manitoba | OTHER |
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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:
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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mental Health Virtual Ward | Experimental | Admission to the Mental Health Virtual Ward |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virtual crisis stabilization support with a multi-disciplinary team | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| The World Health Organization-Five (WHO-5) Well-Being Index | 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. | 1 week, 5 weeks and 6 months from date of discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Post-discharge Healthcare Utilization (self-report) | 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. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jennifer Hensel, MD | University of Manitoba and Shared Health Manitoba/Psychiatry | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Crisis Stabilization Unit | Winnipeg | Manitoba | R3G 0N2 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37016824 | Background | Castillo BA, Shterenberg R, Bolton JM, Dewa CS, Pullia K, Hensel JM. Virtual Acute Psychiatric Ward: Evaluation of Outcomes and Cost Savings. Psychiatr Serv. 2023 Oct 1;74(10):1045-1051. doi: 10.1176/appi.ps.20220332. Epub 2023 Apr 5. | |
| 37260632 | Background | Pullia K, Clavio A, Bolton JM, Hunzinger E, Svenne S, Hensel JM. Providing crisis care in a pandemic: a virtual based crisis stabilization unit. Front Health Serv. 2023 May 16;3:1030396. doi: 10.3389/frhs.2023.1030396. eCollection 2023. |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 31, 2024 | Dec 3, 2024 | Prot_SAP_001.pdf |
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| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| 1 week post discharge, 5 weeks post discharge and 6 months from date of discharge |
| Post-discharge Healthcare Utilization (administrative data) | 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. | 1 week post discharge, 5 weeks post discharge and 6 months from date of discharge |
| Maryland Assessment of Recovery Scale-Twelve (MARS-12) | 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. | 1 week post discharge, 5 weeks post discharge, 6 months post-discharge |
| 31619055 | Background | Palay J, Taillieu TL, Afifi TO, Turner S, Bolton JM, Enns MW, Smith M, Lesage A, Bakal JA, Rush B, Adair CE, Vigod SN, Clelland S, Rittenbach K, Kurdyak P, Sareen J. Prevalence of Mental Disorders and Suicidality in Canadian Provinces. Can J Psychiatry. 2019 Nov;64(11):761-769. doi: 10.1177/0706743719878987. Epub 2019 Oct 16. |
| Background | Butler A, Adair C, Jones W, et al. Towards quality mental health services in Canada: a comparison of performance indicators across 5 provinces. Vancouver, BC: Centre for Applied |
| Background | Shared Health (2018). Shared Health Mental Health Program STATs 2018. |
| Background | Crisis Response Services (2022). Crisis Response Services Annual Performance Report April 1, 2021-Mrach 31, 2022 |
| Background | Canadian Institute for Health Information, 2016. |
| Background | Hensel JM, Bolton JM, Svenne DC, Ulrich L. Innovation through virtualization: Crisis mental health care during Covid-19. Canadian Journal of Community Mental Health. 2020 Nov 2;39(2):71-5. |
| 34100939 | Background | Arsenault-Lapierre G, Henein M, Gaid D, Le Berre M, Gore G, Vedel I. Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. JAMA Netw Open. 2021 Jun 1;4(6):e2111568. doi: 10.1001/jamanetworkopen.2021.11568. |
| 36252139 | Background | Lee K, Bolton SL, Shterenberg R, Bolton JM, Hensel JM. Early Learning From a Low-Resource COVID-Response Virtual Mental Health Crisis Ward: Mixed Methods Study. JMIR Form Res. 2022 Nov 4;6(11):e39861. doi: 10.2196/39861. |
| 23127367 | Background | Ramsay C, Pickard R, Robertson C, Close A, Vale L, Armstrong N, Barocas DA, Eden CG, Fraser C, Gurung T, Jenkinson D, Jia X, Lam TB, Mowatt G, Neal DE, Robinson MC, Royle J, Rushton SP, Sharma P, Shirley MD, Soomro N. Systematic review and economic modelling of the relative clinical benefit and cost-effectiveness of laparoscopic surgery and robotic surgery for removal of the prostate in men with localised prostate cancer. Health Technol Assess. 2012;16(41):1-313. doi: 10.3310/hta16410. |
| 25167382 | Background | Frank L, Basch E, Selby JV; Patient-Centered Outcomes Research Institute. The PCORI perspective on patient-centered outcomes research. JAMA. 2014 Oct 15;312(15):1513-4. doi: 10.1001/jama.2014.11100. No abstract available. |
| Background | Bhattacharyya O, Hayden L, Hensel J. Health Services and Designing for Uncertainty: How a "lean startup" approach can help create an effective community-based program. Stanford Social Innovation Review. 2015;doi:10.48558/kw2z-6a08 |
| 26759375 | Background | Computerised cognitive behaviour therapy (cCBT) as treatment for depression in primary care (REEACT trial): large scale pragmatic randomised controlled trial. BMJ. 2016 Jan 12;352:i195. doi: 10.1136/bmj.i195. No abstract available. |
| 25831962 | Background | Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76. doi: 10.1159/000376585. Epub 2015 Mar 28. |
| 19592116 | Background | Newnham EA, Hooke GR, Page AC. Monitoring treatment response and outcomes using the World Health Organization's Wellbeing Index in psychiatric care. J Affect Disord. 2010 Apr;122(1-2):133-8. doi: 10.1016/j.jad.2009.06.005. Epub 2009 Jul 9. |
| Background | Idiculla T, Eisen S. Integrating science and practice. The BASIS-24 Behavior and symptom identification scale. ResearchGate. 2012; 2(2):16-19. |
| 15550803 | Background | Eisen SV, Normand SL, Belanger AJ, Spiro A 3rd, Esch D. The Revised Behavior and Symptom Identification Scale (BASIS-R): reliability and validity. Med Care. 2004 Dec;42(12):1230-41. doi: 10.1097/00005650-200412000-00010. |
| 22227759 | Background | Drapalski AL, Medoff D, Unick GJ, Velligan DI, Dixon LB, Bellack AS. Assessing recovery of people with serious mental illness: development of a new scale. Psychiatr Serv. 2012 Jan;63(1):48-53. doi: 10.1176/appi.ps.201100109. |