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| Name | Class |
|---|---|
| The Thompson Family Foundation Inc | UNKNOWN |
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The goal of this pilot randomized controlled trial is to learn if adult patients with acute psychiatric conditions can receive hospital-level care at home. The main question it aims to answer is:
1. Estimate the eligibility rate for BHH among screened patients. What percentage of eligible patients agree to enroll in behavioral health home hospital (intervention)?
Behavioral Health Home Hospital (BHH) aims to investigate the feasibility of providing acute psychiatric care at home for a highly selected lower-risk subset. Eligible patients will be admitted to behavioral health home hospital. Subjects include a highly selected lower-risk subset of patients (18 years of age or older) that require hospitalization for an acute psychiatric condition, caregivers (18 years of age or older) of the highly selected lower-risk subset of patients that require hospitalization of an acute psychiatric condition, and clinicians that provide care to intervention and control patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Behavioral health home hospital Care | Experimental | Patients receive hospital level psychiatric care in their home |
|
| Quasi control group | No Intervention | Patients receive hospital level psychiatric care in the traditional brick-and-mortar hospital |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral Health Home Hospital | Other | Patients receive hospital level psychiatric care in their home |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient eligibility rate | Eligibility rate for BHH for patients who are screened. | On the date of patient recruitment, expected one day |
| Reasons for patient ineligibility | Reasons for ineligibility, percent | On the date of patient recruitment, expected one day |
| Measure | Description | Time Frame |
|---|---|---|
| Patient decline rate and reasons for declining | Secondary | Date of patient admission, expected one day |
| Retention Rate - complete follow-up | Number and percentage of patients who completed follow up. Includes interview and 30 day post-discharge survey |
| Measure | Description | Time Frame |
|---|---|---|
| Time between patient being approached by RA and consent signature | Operational Process Measures | Date of enrollment, expected one day |
| Caregiver decline rate and reasons for declining | Exploratory |
General patient inclusion criteria:
≥18 years old
Resides or will reside during hospital care within a 10-mile geographic area surrounding BWFH or BWH.
Patients must be able to be safely managed at home with the in-home clinical coverage and monitoring provided by the BHH program, as determined by the BHH MD. If the BHH MD determines that caregiver support is required for safe participation, the patient must have a caregiver who is able to provide the required level of support to be eligible for enrollment. The level of caregiver support will be determined on a case-by-case basis by the patient's clinical team and BHH MD based on the patient's clinical presentation, safety needs, and functional status (see section 6.1 for details)
To participate in the study, the patient must agree to the level of in-home support and monitoring determined by the study doctor and clinical team. This could include the possibility of asking the patient to agree to be in the same home with their caregiver 24/7 during their entire hospitalization.
Patient clinical inclusion criteria
Voluntarily consent to BHH admission (patient or proxy consent; if proxy consents, patient assents)
Requires hospital-level care for anxiety/depression, psychosis, or behavioral and psychological symptoms of dementia (BPSD)
No current restraint use
No catatonia
Has capacity to consent OR can assent to study and has proxy who can consent Does not need in person socialization that cannot be provided remotely
Can reliably communicate with the BHH team (self or caregiver)
Does not need safety monitoring more frequently than every 30 minutes
Medical condition(s) manageable by BHH
Is not a risk of harm to others, and meets the following criteria:
Has not harmed staff in the past
Consider excluding for a score >1 on the Broset Violence Checklist
Consider prior harm to others; determine context surrounding prior harm, consider other collateral information from family, friends, and other providers
Is not a risk of harm to self, and meets the following criteria:
SAFE-T Protocol with a Columbia-Suicide Severity Rating Scale (C-SSRS) that is low or moderate risk
No evidence of alcohol intoxication or risk of severe withdrawal
No active substance use or if substance use then they can abstain during hospitalization (Consider any active treatment plan, type of substance used, and access to substances)
Consider previous suicide attempts, intensity, lethality, and compulsivity of self-harm behaviors when determining eligibility
Patient does not have behaviors that would prevent them from being cared for at home:
Modified Agitation Severity Scale (MASS) score < 6
Does not have lack of insight or severe disorganization
Pittsburgh Agitation Scale score < 3. Consider excluding the patient for a score of 3 or 4.
Patient diagnosis-specific inclusion criteria:
If patient has a diagnosis of psychosis:
They have NOT developed ideas/beliefs which are significantly detached from the shared beliefs of others
If patient has a diagnosis of BPSD, patient must:
Have an identifiable treatment goal Be willing and able to participate in therapeutic care Agree to wear the Angelsense device
Patient environmental inclusion criteria:
HITS Screening Tool for Domestic Violence (requires patient interview) negative
Is not in police custody
Is not undomiciled
Does not reside in a skilled nursing facility, long term acute care hospital, or detoxification facility
Residence has the capacity to be therapeutic and has working heat (Oct-Apr), working air conditioner if forecast >80 F (Jun-Sep), running water, electricity, and no suspected bed bugs, lice, or scabies
No direct access to a firearm (even if stored)
No illicit drugs in the home
Willing and able to secure pets during BHH visits
Willing to secure medications and other substances, including marijuana, in a BHH lockbox during BHH
Has access to their home (e.g., keys to get into their house)
Caregiver inclusion criteria (caregiver is not required to participate in the study; if a caregiver does enroll in the study, the following inclusion criteria apply)
Age >= 18 years old
Has capacity to consent to study
Clinician inclusion criteria
A BHH clinical team member (a clinician providing care in the home, in-person or remotely).
Or a clinician at the hospital providing care to a control patient
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McLean Hospital | Belmont | Massachusetts | 02478 | United States | ||
| Massachusetts General Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31842232 | Background | Levine DM, Ouchi K, Blanchfield B, Saenz A, Burke K, Paz M, Diamond K, Pu CT, Schnipper JL. Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. Ann Intern Med. 2020 Jan 21;172(2):77-85. doi: 10.7326/M19-0600. Epub 2019 Dec 17. |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Apr 1, 2023 | May 26, 2026 |
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| Day of discharge to 30 days later |
| Retention rate - 30 day post discharge survey | Number of enrolled intervention patients who complete the 30 day post discharge follow up survey | Day of discharge to 30 days later |
| Date of patient admission, expected one day |
| Patients' perceptions and attitudes towards their hospitalization | Semi-structured interview with patients (control & intervention patients) to assess subjects' perceptions and attitudes towards their hospitalization | Date of discharge to 30 date after discharge, assessed up to 2 months |
| Percent of patients that recommend their hospital stay | Exploratory | Day of discharge to 30 days after discharge, assessed up to 2 months |
| Eligible caregivers approached and not approached | Total number and percent of caregivers approached and not approached that met all eligibility criteria for the study | On the date of patient recruitment, expected one day |
| Eligible patients approached and not approached | Total number and percent of patients approached and not approached that met all eligibility criteria for the study | On the date of recruitment, expected one day |
| Total number of caregivers assessed for eligibility | Total number and percent of caregivers initially screened that were approached and not approached | On the date of patient recruitment, expected one day |
| Total number of patients assessed for eligibility | Total number and percent of patients initially screened that were approached and not approached. | On the date of patient recruitment, expected one day |
| Percent of missing data | Percent of patients missing EHR data, cost data, activity data or Redcap data | At admission, at discharge (expected average of 7 days after admission), and at 30 days after discharge |
| Percent of patients, caregivers, and clinicians who complete interviews | Exploratory | Date of enrollment to date of final discharge, assessed up to 4 months |
| Percent of caregivers who complete all surveys | Exploratory | At admission, at discharge (expected average of 7 days after admission), and at 30 days after discharge |
| Percent of questions missed in caregiver admission and discharge surveys | Exploratory | At admission and at discharge (expected average of 7 days after admission) |
| Percent of patients who complete all surveys | Exploratory | At admission, at discharge (expected average of 7 days after admission), and at 30 days after discharge |
| Percent of questions missed in admission, discharge, and post-discharge surveys | Exploratory | At admission, at discharge (expected average of 7 days after admission), and at 30 days after discharge |
| Percent of patients who received intended number of safety checks | Exploratory | From date of admission to date of discharge, an expected average of 7 days |
| Percent of patients in possession of prohibited contraband | Exploratory | From date of admission to date of discharge, an expected average of 7 days |
| Percent of patients who received intended physician visits per day | Exploratory | From date of admission to date of discharge, an expected average of 7 days |
| Percent of patients that received intended RN visits per day | Exploratory | From date of admission to date of discharge, an expected average of 7 days |
| Percent of patients that received intended intervention | 2 visits per day by RN, 1 daily visit by physician | From date of admission to date of discharge, an expected average of 7 days |
| Total number and percent of caregivers lost to follow up | Exploratory | Day of discharge to 30 days later |
| Total number and percent of patients lost to follow-up | Exploratory | Day of discharge to 30 days later |
| Total number and percent of caregivers who stayed with the patient through entire hospitalization | Intervention arm only | From date of admission to date of discharge, an expected average of 7 days |
| Total number and percent of caregivers who withdrew from the study | Exploratory | From date of admission to date of discharge, an expected average of 7 days |
| Total number and percent of patients who complete hospitalization | Exploratory | From date of admission to date of discharge, an expected average of 7 days |
| Total number and percent of patients withdrew from the study | Exploratory | From date of admission to date of discharge, an expected average of 7 days |
| Percentage of caregiver verbal consent completed properly | Documentation that verbal consent was completed appropriately, signature of the person obtaining consent, and date and time of the verbal consent | On the date of enrollment, expected one day |
| Percentage of patient consent forms completed properly | Consent forms with the patient name and signature, the consenting clinician signature, and date and time | On date of enrollment, expected one day |
| Total number and percent of caregivers consented to study | Exploratory | On date of enrollment, expected one day |
| Total number and percent of patients consented to study | Exploratory | On date of enrollment, expected one day |
| Reasons for caregiver ineligibility | Reasons for ineligibility, percent | On date of recruitment, expected one day |
| Patient diagnosis | Exploratory | On the date of patient recruitment, expected one day |
| Patient Age | Exploratory | On the date of patient recruitment, expected one day |
| Patient sex assigned at birth | Exploratory | On the date of patient recruitment, expected one day |
| Patient race/ethnicity | Exploratory | On the date of patient recruitment, expected one day |
| Patient employment status | Exploratory | On the date of patient recruitment, expected one day |
| Patient reside in the catchment area (yes/no) | Exploratory | On the date of patient recruitment, expected one day |
| Patient does not require restraints (yes/no) | Exploratory | On the date of patient recruitment, expected one day |
| Patient not catatonic (yes/no) | Exploratory | On the date of patient recruitment, expected one day |
| Patient not ≦19 weeks pregnant AND does not need fetal monitoring / not pregnant (yes/no) | Exploratory | On the date of patient recruitment, expected one day |
| Patient not undomiciled (yes/no) | Exploratory | On the date of patient recruitment, expected one day |
| Patient not in police custody (yes/no) | Exploratory | On the date of patient recruitment, expected one day |
| Patient not reside in a skilled nursing facility, long term acute care hospital, or detoxification facility (yes/no) | Exploratory | On the date of patient recruitment, expected one day |
| Patient's C-SSRS low or moderate risk (yes/no) | Exploratory | On the date of patient recruitment, expected one day |
| Perceived patient acceptability | Mean or median score of patient recommend care score (scale from 0-10) | Date of discharge, an expected average of 7 days after the date of admission |
| Perceived clinician acceptability | Mean or median score of clinician recommend care score (scale from 0-10) | Date of enrollment to date of final discharge, assessed up to 4 months |
| Total number of caregivers screened | Total number of caregivers screened through caregiver screening forms completed | On the date of patient recruitment, expected one day |
| Caregivers' perceptions and attitudes towards being a caregiver assessed through semi-structured interviews with caregivers | Exploratory | Date of discharge to 30 days post discharge, assessed up to 2 months |
| Clinicians' perceptions and attitudes towards providing care to their patients through semi-structured interviews with caregivers | Secondary | Date of enrollment to date of final discharge, assessed up to 4 months |
| Total direct cost | Total direct cost, direct cost of the acute care episode, direct cost of post-discharge period and direct cost post admission to behavioral health home hospital. | Day of patient admission to 30 days post discharge |
| Length of stay | Measured by the days in the brick and mortar compared to in-home days and the total length of stay | Date of admission to date of discharge, expected average of 7 days |
| Length of stay, date and time | Date and time presented to the ED and admitted to the hospital (brick-and-mortar or behavioral health home hospital | Date of admission to date of discharge, expected average of 7 days |
| Length of stay, early transfer | For intervention arm only, date and time that the patient left the brick-and-mortar and date and time that the patient arrived home | Date of admission to date of discharge, expected average of 7 days |
| EuroQol-5D-5L and Euro-VAS change in score | Change in score at 30 days compared with enrollment | At admission, at discharge (the day the patient leaves the hospital environment, expected average of 7 days after admission), and at 30 days after discharge |
| EuroQol-5D-5L and Euro-VAS percent improvement in each milestone | Measured compared to the minimal important difference (at least 0.037 index for the EuroQol-5D-5L | At admission, at discharge (the day the patient leaves the hospital environment, expected average of 7 days after admission), and at 30 days after discharge |
| Number of mental health specialist checks per day | Acute episode utilization | From date of admission to date of discharge, an expected average of 7 days |
| Ratio of observed versus expected mental health specialist checks | Acute episode utilization | From date of admission to date of discharge, an expected average of 7 days |
| Percent utilized social work | Acute episode utilization | From date of admission to date of discharge, an expected average of 7 days |
| Percent utilized consultant | Acute episode utilization | From date of admission to date of discharge, an expected average of 7 days |
| Percent utilized urgent mobile integrated health visits | Acute episode utilization | From date of admission to date of discharge, an expected average of 7 days |
| Percent utilized virtual group therapy | Acute episode utilization | From date of admission to date of discharge, an expected average of 7 days |
| Percent utilized 1:1 virtual therapy | Acute episode utilization | From date of admission to date of discharge, an expected average of 7 days |
| Total number of patients screened | Total number of patients screened through number of patient screening forms completed | On the date of patient recruitment, expected one day |
| Percent utilized virtual reality group therapy | Acute episode utilization | From date of admission to date of discharge, an expected average of 7 days |
| Average number of enrollments per day | Operational Process Measures | At the end of the study, assessed up to 2 months |
| Percent utilized 1:1 virtual reality therapy | Acute episode utilization | From date of admission to date of discharge, an expected average of 7 days |
| Percent utilized virtual reality therapeutic activities | Acute episode utilization | From date of admission to date of discharge, an expected average of 7 days |
| Time to readmission, days | Post discharge 30-day utilization | Day of discharge to 30 days later |
| Percent readmission to inpatient psychiatry | Post discharge 30-day utilization | Day of discharge to 30 days later |
| Percent readmission to hospital for non-psychiatric illness | Post discharge 30-day utilization | Day of discharge to 30 days later |
| Percent emergency department visit | Post discharge 30-day utilization | Day of discharge to 30 days later |
| Percent observation stay | Post discharge 30-day utilization | Day of discharge to 30 days later |
| Percent outpatient psych visits | Post discharge 30-day utilization | Day of discharge to 30 days later |
| Percent primary care provider visits | Post discharge 30-day utilization | Day of discharge to 30 days later |
| Calories per day | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Percent wear time of the Actigraph | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Percent sleep per day | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Percent time low physical activity | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Percent time moderate-vigorous physical activity | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Percent time walking | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Percent time sedentary | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Number of steps | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Percent top-box response to Picker survey questions | Exploratory | Date of discharge, assessed up to 2 months |
| Mean Global experience (scale 0-10 about the patient's hospital experience) | Exploratory | Date of discharge, assessed up to 2 months |
| Mean patient recommend care | Exploratory | Date of discharge, assessed up to 2 months |
| Mean net promoter score (Percent of those who recommend minus the percent of those who don't recommend) | Exploratory | Date of discharge, assessed up to 2 months |
| Percent patients with any adverse events | Exploratory | Date of patient admission to date of patient discharge, expected average of 7 days |
| Percent of patients with psychiatry-related adverse events | Exploratory | Date of patient admission to date of patient discharge, expected average of 7 days |
| Percent of patients with non-psychiatry-related adverse events | Exploratory | Date of patient admission to date of patient discharge, expected average of 7 days |
| Percent intervention patients transferred back to hospital for adverse events | Intervention patients that were admitted to the BAM because of their adverse event and their number of days in BAM | Date of patient admission to date of patient discharge, expected average of 7 days |
| Percent of intervention patients round trip from BAM to behavioral health home hospital | Due to a safety event but transferred back home to complete their BHH admission and number of days in BAM | Date of patient admission to date of patient discharge, expected average of 7 days |
| Number of days spent entirely at home | Exploratory | Day of discharge to 30 days later |
| Caregiver burden overall score | Assessed through the Zarit Burden Interview - short form where >13 points is considered the cut-off score | Date of admission to date of discharge, an expected average of 7 days |
| Percent of providers reporting burnout | Measured through the Mini-Z survey and a score of 3 or higher on the question about burnout | Date of enrollment to date of final discharge, assessed up to 4 months |
| Time between admission to BHH and arrival home (intervention) or transfer to ward (control) | Operational Process Measures | At patient enrollment, expected average of one day |
| Average transport time | Operational Process Measures | Date of admission to date of discharge, an expected average of 7 days |
| Caregiver burden percent moderate-to-severe or severe burden | Assessed through the Zarit Burden Interview - short form where >13 points is considered the cut-off score | Date of admission to date of discharge, an expected average of 7 days |
| Time between arriving home to evaluation by nurse (intervention only) | Operational Process Measures | On date of admission, expected average of one day |
| Minutes per day spent in 1:1 virtual therapy | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Minutes per day spent in virtual group therapy | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Minutes per day spent in 1:1 virtual reality therapy | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Minutes per day spent in virtual reality group therapy | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Minutes per day spent in virtual reality activities | Exploratory | Date of admission to date of discharge, expected average of 7 days |
| Average time of visit (non-admission and non-discharge) | Operational Process Measures | Date of admission to date of discharge, expected average of 7 days |
| Gender | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Primary language | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Health insurance status, public/private/none | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| BMI | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Comorbidities, type and # | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Partner status | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Education | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| 9-digit zip code | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Smoking status | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Medications used as outpatient, number | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| DNR/I code status | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Lives alone | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Admission source | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Admitting Diagnosis | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Number of non-psychiatric admissions in the previous 6 months | Patient Co-variates of Interest | Date of admission, assessed up to 2 months] |
| Number of psychiatric admissions in the previous 6 months | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Number of psychiatric ED visits in the previous 6 months | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Number of non-psychiatric ED visits in the previous 6 months | Patient co-variate of interest | Date of admission, assessed up to 2 months |
| Primary care provider | Patient co-variate of interest | Date of admission, assessed up to 2 months |
| Home health aide prior to admission | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| BRIEF health literacy screening tool | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Taking psychiatric medication, yes/no | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Length of psychiatric condition, years | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Alcohol use by average drinks per week | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Substance use disorder yes/no | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Type of substance use disorder (OUD, AUD, CUD, other) | Patient Co-variates of Interest | Date of admission, assessed up to 2 months |
| Length of diagnosis, years | Co-variates for patients diagnoses | Date of admission, assessed up to 2 months |
| Type of anxiety, psychosis, depressive or BPSD diagnosis | Co-variates for patients | Date of admission, assessed up to 2 months |
| Anxiety severity for people with diagnosis of anxiety | Measured through the generalized anxiety disorder-7 item | At admission, at discharge (expected average of 7 days after admission), and at 30 days after discharge |
| Psychosis severity | Measured through the BPRS | At admission, at discharge (expected average of 7 days after admission), and at 30 days after discharge |
| History of suicide | Co-variate for Patients with Depression | Day of admission, assessed up to 2 months |
| Suicidal ideation (based off C-SSRS) | Co-variates for Patients with Depression | Day of admission, assessed up to 2 months |
| Depression severity, PHQ-9 score | Co-variates for Patients with Depression | At admission, at discharge (expected average of 7 days after admission), and at 30 days after discharge |
| BPSD severity, quick dementia rating system (QDRS) | Co-variates for Patients with BPSD | Day of admission, assessed up to 2 months |
| Frail scale | Co-variates for Patients with BPSD | Day of admission, assessed up to 2 months |
| Clinician age | Clinician Co-variates of Interest | Day of admission, assessed up to 2 months |
| Clinician role | Clinician Co-variates of Interest | Day of admission, assessed up to 2 months |
| Clinician number of years in practice | Clinician Co-variates of Interest | Day of admission, assessed up to 2 months |
| Clinician gender | Clinician Co-variates of Interest | Day of admission, assessed up to 2 months |
| Clinician race | Clinician Co-variates of Interest | Day of admission, assessed up to 2 months |
| Clinician ethnicity | Clinician Co-variates of Interest | Day of admission, assessed up to 2 months |
| Caregiver Age | Caregiver Co-variates of Interest | Day of admission, assessed up to 2 months |
| Caregiver relationship to the patient | Caregiver Co-variates of Interest | Day of admission, assessed up to 2 months |
| Primary caregiver yes/no | Caregiver Co-variates of Interest | Day of admission, assessed up to 2 months |
| Paid caregiver yes/no | Caregiver Co-variates of Interest | Day of admission, assessed up to 2 months |
| Caregiver employment status | Caregiver Co-variates of Interest | Day of admission, assessed up to 2 months |
| Caregiver lives with patient | Caregiver Co-variates of Interest | Day of admission, assessed up to 2 months |
| Caregiver education | Caregiver Co-variates of Interest | Day of admission, assessed up to 2 months |
| Caregiver race | Caregiver Co-variates of Interest | Day of admission, assessed up to 2 months |
| Caregiver ethnicity | Caregiver Co-variates of Interest | Day of admission, assessed up to 2 months |
| Caregiver partner status | Caregiver Co-variates of Interest | Day of admission, assessed up to 2 months |
| Capacity to consent (yes/no) | Caregiver Co-variates of Interest | Date of recruitment, expected average one day |
| Agree to stay with the patient 24/7 while they are hospitalized to provide support (yes/no) | Caregiver Co-variates of Interest | Date of recruitment, expected average one day |
| Willing to respond and help the patient in an urgent need (yes/no) | Caregiver Co-variates of Interest | Date of recruitment, expected average one day |
| Concerns about safety or interpersonal/environmental triggers for the patient (yes/no) | Caregiver Co-variates of Interest | Date of recruitment, expected average one day |
| Caregiver will need help in areas (yes/no) | Caregiver Co-variates of Interest | Date of recruitment, expected average one day |
| Caregiver has medications and/or substances to secure during BHH (yes/no) | Caregiver Co-variates of Interest | Date of recruitment, expected average one day |
| Caregiver feels physically and emotionally prepared to provide caregiver services (yes/no) | Caregiver Co-variates of Interest | Date of recruitment, expected average one day |
| Caregiver meets eligibility (yes/no) | Caregiver Co-variates of Interest | Date of recruitment, expected average one day |
| Reasons for ineligibility (if ineligible) | Caregiver Co-variates of Interest | Date of recruitment, expected average one day |
| Wants to participate in the research surveys and interview (yes/no) | Caregiver Co-variates of Interest | Date of recruitment, expected average one day |
| Percent of patients who received intended psychologist visits per day | Exploratory | From date of admission to date of discharge, an expected average of 7 days |
| Percent of missing EHR data | Percent of patients missing EHR data | At admission, at discharge (expected average of 7 days after admission), and at 30 days after discharge |
| Percent of missing activity data | Percent of patients missing activity data | At admission, at discharge (expected average of 7 days after admission), and at 30 days after discharge |
| Boston |
| Massachusetts |
| 02114 |
| United States |
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | United States |
| Brigham and Women's Faulkner Hospital | Jamaica Plain | Massachusetts | 02130 | United States |
| ICF_000.pdf |
| ID | Term |
|---|---|
| D011618 | Psychotic Disorders |
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| D001519 | Behavior |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
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