Evaluation of a Collaborative Mental Health Care System
NCT Number: NCT06581874
Acronym: MED@PSY
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Psychiatric Adults Patients
Sponsor: Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 478
Study Design: Allocation: NON_RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: HEALTH_SERVICES_RESEARCH
Start Date: 2024-10
Completion Date: 2026-01

Summary:
In the absence of easy access to second-line ambulatory care, the number of 'inappropriate' psychiatric emergency visits is increasing, with emergency departments becoming the gateway to mental health care.

This is the context in which the 'med@psy' system was set up in the Toulon-Provence-Mediterranean metropolitan area by a private psychiatrist. It facilitates access to psychiatric second referral for General Practitioners (GPs) by pooling the 48-hour supply of psychiatric consultations in real time. It is assumed that this system will facilitate access to outpatient psychiatric care and help to optimize the organisation of patient care and follow-up. The aim of this study is to evaluate the med@psy system in the care pathway for patients with psychiatric disorders.

This study main objective is to compare the proportion of patients with a psychiatric disorder who will receive outpatient follow-up 1 month after a visit to a psychiatric emergency department without hospitalization (Group 1) versus 1 month after a consultation with a psychiatrist within 48 hours via the med@psy system (Group 2).

Primary Outcome Measures: outpatient follow-up at one month, Setting up outpatient follow-up from a binary point of view (outpatient follow-up absent or present). This will be defined by whether or not each group has had at least one consultation with a psychiatrist (apart from emergency psychiatric consultations or psychiatric consultations set up at 48 hours with the system), a psychologist or a general practitioner.

It will be evaluated by means of a telephone survey carried out among patients 1 month after consultation with a psychiatrist via the med@psy system or a visit to the emergency department., 1 month
Secondary Outcome Measures: Outpatient follow-up at three months, Outpatient follow-up will be evaluated by the proportion of patients who have had at least one consultation with a psychiatrist, psychologist or general practitioner, in each group, by means of a telephone survey carried out with patients 3 months after the consultation or visit to the emergency department., 3 months|Functioning Global Assessment, Overall psychological, social and professional functioning will be assessed using the Global Assessment of Functioning (GFS), which will be carried out by a psychologist during a teleconsultation with the patient at 1 and 3 months., 3 months|Medical partners commitment (part 1), Medical partners commitment will be assessed by the number of GPs and psychiatrists registered in the Med@psy program., 1 year|Medical partners commitment (part 2), Medical partners commitment will be assessed by the number of patients treated via the program., 1 year|Medical partners commitment (part 3), Medical partners commitment will be assessed by the frequency of use of Med@psy program., 1 year|Medical partners commitment (part 4), Medical partners commitment will be assessed by the average time between referral by the GPs and the psychiatric consultations offered through the Med@psy program, 12 months after its start of use., 1 year|Med@psy plateform patients characteristics, Description of the patient population who get a psychiatric consultation within 48 hours through the Med@psy plateform but who don't come to the consultation. The elements which will be evaluated are : age, sex, place of residence, pathology and reason for referral by a GP., 1 month