NCT03508518

Brief Summary

Getting a consultation with a psychiatrist within an appropriate time is one of the main issues reported by general practitioners (GP) for patients suffering from mental disorders in primary care. Consultation liaison in psychiatry is a system focused on general medicine-psychiatry collaboration. The aim of the present study is to evaluate the impact of the consultation-liaison on the adequacy of the access time to a psychiatric consultation according to the degree of urgency evaluated by the GP.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
151

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2018

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
terminated

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 16, 2018

Completed
9 days until next milestone

First Posted

Study publicly available on registry

April 25, 2018

Completed
4 months until next milestone

Study Start

First participant enrolled

August 28, 2018

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2023

Completed
Last Updated

December 19, 2023

Status Verified

December 1, 2023

Enrollment Period

4.9 years

First QC Date

April 16, 2018

Last Update Submit

December 12, 2023

Conditions

Mental Disorder

Keywords

Accessibility of health servicesAccess to psychiatric careConsultation-liaisonGeneral practitioner and psychiatrist collaborationCare pathway

Outcome Measures

Primary Outcomes (1)

  • Number of patients who had access to a consultation with a psychiatrist

    Number of patients who had access to a consultation with a psychiatrist within 2 working days following the GP consultation for patients whose GP wishes an "urgent" consultation, within 7 working days for a "quick" consultation and within 21 working days for a "non-urgent" consultation.

    2 to 21 working days after inclusion

Secondary Outcomes (15)

  • Number of days between M0 (GP consultation) and M1 (psychiatric consultation)

    6 months

  • Number of passages to psychiatric emergencies

    6 months

  • Number of suicide attempts

    6 months

  • Mental health status by Symptom Checklist (SCL)

    date of inclusion, 1 month and 6 months after inclusion

  • Mental health status by Patient Health Questionnaire (PHQ)

    date of inclusion, 1 month and 6 months after inclusion

  • +10 more secondary outcomes

Study Arms (2)

Shared care device in psychiatry (DSPP)

EXPERIMENTAL

System focused on collaboration between general medicine (GP) and psychiatry, offering psychiatric assessment consultations and guidance for patient addressed by his/her GP. Referrals are made to the GP with support for care or the patient can be oriented to routine psychiatric care.

Other: Shared care device in psychiatry (DSPP)

Care as usual

ACTIVE COMPARATOR

Patient will have usual care : Psychiatric care available in the Haute Garonne: psychiatric consultation by a liberal psychiatrist or by a psychiatrist working in public health center

Other: Usual Care

Interventions

Shared care device in psychiatry (DSPP)OTHER

The GPs of the intervention group will be able to refer their patients to the DSPP or to the routine care. The patient has a nursing telephone interview prior to one or few more psychiatric consultations. The time to obtain the psychiatric consultation is measured into the 2 groups. In both groups, questionnaires will be sent to the patient and their medico-administrative data will be collected passively over a period of 6 months after inclusion

Shared care device in psychiatry (DSPP)
Usual CareOTHER

psychiatric care available in the Haute Garonne: psychiatric consultation by a liberal psychiatrist or by a psychiatrist working in public health center.

Care as usual

Eligibility Criteria

Age15 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • years patient or older:
  • presenting mental suffering or a frequent or severe mental disorder
  • having consulted his GP who ask for psychiatric consultation
  • having given its consent for the use of its medico-administrative data
  • affiliated with the general health insurance scheme
  • of which the GP is from Haute Garonne and is voluntary to participate in the study

You may not qualify if:

  • Patient with ongoing psychiatric follow-up
  • Patient unable to answer questionnaires (unable to read or write)
  • Patients receiving a measure of legal protection

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Hospital Toulouse

Toulouse, 31059, France

Location

MeSH Terms

Conditions

Mental Disorders

Interventions

Psychiatrydentin sialophosphoprotein

Intervention Hierarchy (Ancestors)

Behavioral SciencesBehavioral Disciplines and Activities

Study Officials

  • Sophie Prébois, MD

    University Hospital, Toulouse

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 16, 2018

First Posted

April 25, 2018

Study Start

August 28, 2018

Primary Completion

August 1, 2023

Study Completion

August 1, 2023

Last Updated

December 19, 2023

Record last verified: 2023-12

Data Sharing

IPD Sharing
Will not share

Locations

FR(1)