Diabetes Screening, Risk Management and Disease Management in a High-Risk Mental Health Population

NCT00253240 | Completed

• 4 other identifiers: R-04-441G13-0545710933ELRI7760576
• Study Type: observational
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

Family physicians are the primary health care providers for complex patients such as persons with serious mental illness. The psychiatric needs of these patients could take attention away from management of health problems and from usual health promotion services. For example, Schizophrenia is associated with a higher than normal incidence of diabetes, and first line treatments of Schizophrenia have also been found to increase risk for diabetes. As such, this high-risk group requires targeted diabetes strategies. In London Ontario, services are provided to this high risk mental health population primarily by two community agencies: The Western Ontario Therapeutic Community Hostel (WOTCH) and the Canadian Mental Health Association (CMHA). Accordingly, the goal of this project is to assess how these patients are currently being managed by their family physicians and to pilot a community-based, multidisciplinary diabetes clinic model within this population. If this delivery model proves feasible and effective, family physicians could be assisted by existing community agencies in the management of their patients' diabetes and patients will receive improved access to this vital multidisciplinary team.

Conditions

Diabetes Mellitus; Schizophrenia; Psychotic Disorders

Interventions

Screening PROCEDURE

Management PROCEDURE

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Active in current WOTCH/CMHA database with listed diagnosis of a psychotic disorder an or use of Novel Antipsychotics. Must have Family Physician contact.

You may not qualify if:

• any patient with declaration on file stating incapable of consenting to treatment.

Sponsors & Collaborators

• London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's: lead
• Ontario Ministry of Health and Long Term Care: collaborator
• Western Ontario Therapeutic Community Hostel (WOTCH): collaborator
• Canadian Mental Health Association: collaborator
• London Intercommunity Health Centre (LIHC): collaborator

Study Sites (1)

London Intercommunity Health Centre

London, Ontario, N5W 2Z1, Canada

Location

MeSH Terms

Conditions

Diabetes Mellitus; Schizophrenia; Psychotic Disorders

Interventions

Mass Screening; Therapeutics

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis; Health Surveys; Surveys and Questionnaires; Data Collection; Epidemiologic Methods; Investigative Techniques; Diagnostic Services; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health; Public Health Practice

Study Officials

• David RS Haslam, MSc MD FRCPC

  St. Joseph's Health Care London

  PRINCIPAL INVESTIGATOR

• Stewart B Harris, MD MPH CCFP FACPM

  Centre for Studies in Family Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 10, 2005
• First Posted: November 15, 2005
• Study Start: September 1, 2004
• Study Completion: September 1, 2005
• Last Updated: November 6, 2018

Record last verified: 2018-11

Locations

CA (1)