Clinical trial NCT06320457: A Brief Case Management Intervention for People Involuntarily Admitted to a Psychiatric Hospital
Official title: Supporting People Involuntarily Admitted to a Psychiatric Hospital Through a Brief Case Management Intervention That Promotes Personal Recovery and Reduces the Negative Effects of Coercion: a Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Psychiatric Disorder
Involuntary Psychiatric Hospitalization
Keywords: coercion
involuntary admission
personal recovery
case management
psychiatry
Lead sponsor: University of Lausanne Hospitals
Sponsor class: OTHER
First posted: 2024-03-20
Enrollment: 26
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: The goal of this clinical trial is to assess whether a brief case management intervention aimed at promoting personal recovery and reducing the negative effects of coercion among people involuntarily admitted to a psychiatric hospital would be well accepted by them, practically feasible and useful. The main questions it aims to answer are:

* Is the case management intervention acceptable and feasible?
* What are the preliminary effects of the case management intervention on patients' personal recovery and its sub-dimensions, as well as on their level of perceived coercion and their global satisfaction with hospital care?

Participants will be asked to take part in:

* the five sessions of the case management intervention;
* two evaluation sessions (pre and post-intervention);
* a final in-depth semi-structured interview (optional).


Eligibility criteria: Inclusion Criteria:

* To have been involuntarily admitted by a medical doctor
* To be aged between 18 and 65 years

Exclusion Criteria:

* Patients unable to provide written consent due to a lack of discernment
* Patients unable to speak French well enough to participate in the study without the help of an interpreter

Primary outcomes:
measure: Eligibility rate
timeFrame: From start of study recruitment through study recruitment completion, on average 6 months
measure: Participation rate
timeFrame: From start of study recruitment through study recruitment completion, on average 6 months
measure: Drop-out rate
timeFrame: Post-intervention, up to 1 month post hospital discharge
measure: Intervention dosage
timeFrame: Post-intervention, up to 1 month post hospital discharge
measure: Missing data rates
timeFrame: At the end of the study, on average 9 months after the inclusion of the first participant
measure: Number of unexpected adverse events
timeFrame: Up to 1 week after hospital admission through up to 1 month post hospital discharge
measure: Participants' acceptance and degree of satisfaction
timeFrame: Post-intervention, up to 1 month post hospital discharge
measure: Implementation barriers and facilitating factors
timeFrame: After the last included participant final evaluation, on average 8 months after the inclusion of the first participant
Secondary outcomes:
measure: Recovery Assessment Scale (RAS)
timeFrame: Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention)
measure: Empowerment Scale
timeFrame: Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention)
measure: Rosenberg Self-Esteem Scale (RSS)
timeFrame: Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention)
measure: The Paradox of Self-Stigma scale (PaSS-24)
timeFrame: Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention)
measure: Beck Hopelessness Scale (BHS)
timeFrame: Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention)
measure: WHOQOL-BREF
timeFrame: Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention)
measure: International Trauma Questionnaire (ITQ)
timeFrame: Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention)
measure: Coercion Ladder (CL)
timeFrame: Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention)
measure: Index of fairness and Index of effectiveness
timeFrame: Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention)
measure: Satisfaction with hospital care
timeFrame: Two time points assessment: up to 1 week after hospital admission (pre-intervention) and up to 1 month post hospital discharge (post-intervention)
measure: Brief INSPIRE scale
timeFrame: Post-intervention, up to 1 month post hospital discharge
Other outcomes:
Locations:
city: Lausanne
country: Switzerland
facility: Lausanne University Hospital
state: Canton of Vaud
Study officials:
affiliation: Centre Hospitalier Universitaire Vaudois, CHUV
name: Charles Bonsack
role: STUDY_CHAIR
References: