Clinical trial NCT06526026: An Innovative Mental Health Virtual Ward: Evaluation of Patient-Centered Outcomes
Official title: An Innovative Mental Health Virtual Ward: Evaluation of Patient-Centered Outcomes
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Mental Health Disorder
Mental Health Impairment
Psychiatric Emergency
Crisis; Emotional
Lead sponsor: University of Manitoba
Sponsor class: OTHER
Collaborators: name: Health Sciences Centre Foundation, Manitoba
First posted: 2024-07-29
Enrollment: 476
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: 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:

1. Prospectively measure demographic, recovery, service delivery, and systems use outcomes in a cohort of MH vWard admissions.
2. establish this cohort for use in future research.

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:

1. Engage in individual therapy and care planning with a clinician or psychiatry team.
2. Have engagement with formal (community providers) and informal supports (family, friends) for collateral and collaboration.
3. Receive medication reconciliation and management.
4. Participate in group programming.
5. Receive referrals for follow-up services.
6. Have access to after hours support.
7. Have access to the Telus Home Health Monitoring (HHM) App, which is custom designed to complement the services provided by the program.


Eligibility criteria: Inclusion Criteria:

* Individuals admitted to the Mental Health Virtual Ward.

Exclusion Criteria:

* None.

Primary outcomes:
measure: The World Health Organization-Five (WHO-5) Well-Being Index
timeFrame: 1 week, 5 weeks and 6 months from date of discharge
Secondary outcomes:
measure: Post-discharge Healthcare Utilization (self-report)
timeFrame: 1 week post discharge, 5 weeks post discharge and 6 months from date of discharge
measure: Post-discharge Healthcare Utilization (administrative data)
timeFrame: 1 week post discharge, 5 weeks post discharge and 6 months from date of discharge
measure: Maryland Assessment of Recovery Scale-Twelve (MARS-12)
timeFrame: 1 week post discharge, 5 weeks post discharge, 6 months post-discharge
Other outcomes:
Locations:
city: Winnipeg
country: Canada
facility: Crisis Stabilization Unit
state: Manitoba
Study officials:
affiliation: University of Manitoba and Shared Health Manitoba/Psychiatry
name: Jennifer Hensel, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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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