NCT01622244

Brief Summary

The study will assess the effectiveness and cost-effectiveness of providing brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems. The goals of the intervention are to support patients' transition to community-based health and social services and supports - including primary and urgent psychiatric care, peer support and other community services and supports - so as to improve patient wellbeing and reduce avoidable ED visits and hospitalizations.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
166

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2012

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 4, 2012

Completed
15 days until next milestone

First Posted

Study publicly available on registry

June 19, 2012

Completed
5 months until next milestone

Study Start

First participant enrolled

November 1, 2012

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2013

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2014

Completed
Last Updated

October 30, 2014

Status Verified

June 1, 2012

Enrollment Period

10 months

First QC Date

June 4, 2012

Last Update Submit

October 29, 2014

Conditions

Outcome Measures

Primary Outcomes (1)

  • Frequency of Emergency Department visits

    Baseline, 6 and 12 months

Secondary Outcomes (4)

  • Changes in symptom severity

    Baseline, 6 and 12 months

  • Days in hospital

    baseline, 6 and 12 months

  • Changes in substance use

    baseline 6 and 12 months

  • Changes in health related quality of life

    baseline, 6 and 12 months

Study Arms (2)

Intervention arm

EXPERIMENTAL

Participants will receive brief, intensive case management to connect them to health and social services and supports in the community

Other: Co-ordinated Access to Care from Hospital Emergency DepartmentsOther: Coordinated Access to Care from Hospital Emergency Departments

Counseling and Resource Education (CARE)

ACTIVE COMPARATOR

Participants will receive care as usual in the community. In addition, participants in this arm will receive an educational session and resource guide outlining available community-based services

Behavioral: Counseling and Resource Education

Interventions

Participants will receive brief, intensive case management to connect them to health and social services and supports in the community

Intervention arm

Participants will receive usual care as well as an educational session and resource guide outlining community-based services

Counseling and Resource Education (CARE)

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • legal adult status (age 18)
  • able to give informed consent
  • have made 5+ visits to participating hospital Emergency Department in the previous 12 months
  • One of these visits will have been for a mental health and/or addiction problem.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

St. Michael's Hospital

Toronto, Ontario, M5B 1W8, Canada

Location

St. Michael's Hospital

Toronto, Ontario, M5S 2N9, Canada

Location

Related Publications (1)

  • Stergiopoulos V, Gozdzik A, Tan de Bibiana J, Guimond T, Hwang SW, Wasylenki DA, Leszcz M. Brief case management versus usual care for frequent users of emergency departments: the Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) randomized controlled trial. BMC Health Serv Res. 2016 Aug 24;16(1):432. doi: 10.1186/s12913-016-1666-1.

MeSH Terms

Conditions

Psychological Well-Being

Interventions

Counseling

Condition Hierarchy (Ancestors)

Personal SatisfactionBehavior

Intervention Hierarchy (Ancestors)

Mental Health ServicesBehavioral Disciplines and ActivitiesCommunity Health ServicesHealth ServicesHealth Care Facilities Workforce and Services

Study Officials

  • Vicky Stergiopoulos, MD, MHSc

    Unity Health Toronto

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 4, 2012

First Posted

June 19, 2012

Study Start

November 1, 2012

Primary Completion

September 1, 2013

Study Completion

September 1, 2014

Last Updated

October 30, 2014

Record last verified: 2012-06

Locations