Clinical trial NCT01719354: Aftercare in the Community Health Center
Official title: Aftercare in the Community Health Center - a Venue for Identifying and Coordinating Community Services
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Disorders
Keywords: Community Mental Health Centers
Norway
Aftercare
Lead sponsor: Norwegian University of Science and Technology
Sponsor class: OTHER
Collaborators: name: St. Olavs Hospital
First posted: 2012-11-01
Enrollment: 41
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This is a trial to examine the effects of aftercare for mental health patients in community health center (Leistad). Recruitment occurs among hospitalized patients in psychiatric hospitals (Østmarka). After discharge, patients will be randomly assigned to one of two groups: intervention group (community health center, primary care) or control group (Community mental health centers of District Psychiatric Service, specialist care).

The project's primary objective is to investigate the effect of community services on patients' functional capacity and user satisfaction after discharge. Secondly, the number of treatment days and readmissions to mental health care will be examined. The project will also compare costs of hospitalization, in psychiatric hospital and community health center respectively. Data will be collected from community health records, medical records and patient systems in psychiatric hospital, community mental health centers of District Psychiatric Service (DPS) and questionnaires filled out by patients.


Eligibility criteria: Inclusion Criteria:

* considered by the responsible manager to have given consent
* hospitalized, diagnosed and treated such as can be continued in a District Psychiatric Service or a health center.
* stable condition, but anxiety and disruptive behavior may occur to a lesser extent.
* considered to have a perceived need for complex services from specialist health and community for a long time after discharge.

Exclusion Criteria:

* not in a stable phase thus shielding required

Primary outcomes:
measure: Consumption of community health service
timeFrame: one year
measure: Need for community health services
timeFrame: one year
measure: User satisfaction
timeFrame: one year
measure: Need for community health services
timeFrame: one year
Secondary outcomes:
measure: Number of treatment days
timeFrame: One year
measure: Readmission
timeFrame: One year
measure: The total costs of inpatient and total costs of all health care after discharge
timeFrame: One year
Other outcomes:
Locations:
city: Trondheim
country: Norway
facility: Regional Committees for Medical and Health Research Ethics
Study officials:
affiliation: NTNU, Department of Public Health and General Practice
name: Aslak Steinsbekk, prof
role: STUDY_DIRECTOR
References:
citation: Roos E, Bjerkeset O, Steinsbekk A. Health care utilization and cost after discharge from a mental health hospital; an RCT comparing community residential aftercare and treatment as usual. BMC Psychiatry. 2018 Nov 12;18(1):363. doi: 10.1186/s12888-018-1941-2.