Clinical trial NCT00153959: Psychiatric Day Hospital Treatment
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Depressive Disorders
Schizophrenia
Anxiety Disorders
Personality Disorders
Adjustment Disorders
Lead sponsor: Technische Universität Dresden
Sponsor class: OTHER
First posted: 2005-09-12
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER

Brief summary: The aim of the study was to compare the effectiveness of acute psychiatric day care to conventional inpatient care within a cross-national multi-site randomised controlled trial.


Eligibility criteria: Inclusion Criteria:

* Patients must have presented with a mental disorder with current symptoms that had either led to at least a moderate disturbance in performance in more than one area of daily living or had jeopardized the residential, financial or occupational status of the patient or his family
* Treatments other than inpatient or day hospital care must have been inadequate or not sufficiently effective for the patient's current mental state

Exclusion Criteria:

* Temporary admission for diagnostic purposes or for other reasons
* Under 18 or over 65 years
* Admission without consent of the patient (according to country-specific legal regulations)
* One-way journey to hospital longer than 60 minutes
* Suicidal risk
* Risk to others
* Degree of severity of the disorder requires measures restrictive of the patient's freedom on the day of admission, or a 1:1 supervision, or deems such probable
* Acute intoxication
* Main clinical diagnosis: addictive disorder
* Presence of a somatic disorder requiring inpatient care
* Direct transfer from a different hospital
* Homelessness
* Need for constant pick-up and delivery service
* Inability to give informed consent with respect to participating in the study

Primary outcomes:
Secondary outcomes:
Other outcomes:
Locations:
city: Prague 2
country: Czech Republic
facility: Department of Psychiatry, First Medical Faculty, Charles University of Prague
city: Dresden
country: Germany
facility: Department of Psychiatry at Dresden University of Technology
state: Saxony
city: Wroclaw
country: Poland
facility: Department of Psychiatry, Wroclaw University of Medicine
city: Michalovce
country: Slovakia
facility: Michalovce Psychiatric Hospital
city: London
country: United Kingdom
facility: Unit for Social and Community Psychiatry, Barts' and The London School of Medicine
Study officials:
affiliation: Department of Psychiatry at Dresden University of Technology
name: Thomas W. Kallert, Prof.Dr.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gibbon S, Khalifa NR, Cheung NH, Vollm BA, McCarthy L. Psychological interventions for antisocial personality disorder. Cochrane Database Syst Rev. 2020 Sep 3;9(9):CD007668. doi: 10.1002/14651858.CD007668.pub3.
citation: Kallert TW, Priebe S, McCabe R, Kiejna A, Rymaszewska J, Nawka P, Ocvar L, Raboch J, Starkova-Kalisova L, Koch R, Schutzwohl M. Are day hospitals effective for acutely ill psychiatric patients? A European multicenter randomized controlled trial. J Clin Psychiatry. 2007 Feb;68(2):278-87. doi: 10.4088/jcp.v68n0214.