An Innovative Mental Health Virtual Ward: Evaluation of Patient-Centered Outcomes

NCT06526026 | Completed

• 1 other identifier: HS26297
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to evaluate if admission to the Mental Health Virtual Ward (MH vWard) for mental health crisis stabilization is having a meaningful positive impact on patient reported outcomes and healthcare utilization. The objectives of this study are:

1. 1.Prospectively measure demographic, recovery, service delivery, and systems use outcomes in a cohort of MH vWard admissions.
2. 2.establish this cohort for use in future research.
3. 3.Engage in individual therapy and care planning with a clinician or psychiatry team.
4. 4.Have engagement with formal (community providers) and informal supports (family, friends) for collateral and collaboration.
5. 5.Receive medication reconciliation and management.
6. 6.Participate in group programming.
7. 7.Receive referrals for follow-up services.
8. 8.Have access to after hours support.
9. 9.Have access to the Telus Home Health Monitoring (HHM) App, which is custom designed to complement the services provided by the program.

Conditions

Mental Health Disorder; Mental Health Impairment; Psychiatric Emergency; Crisis; Emotional

Outcome Measures

Primary Outcomes (1)

• The World Health Organization-Five (WHO-5) Well-Being Index

  The World Health Organization-Five (WHO-5) Well-Being Index is a questionnaire used for the assessment of subjective psychological well-being. Five questions are answered on a scale of 1-5 (0 meaning the individual agrees with the statement "at no time", 5 meaning they agree with the statement "all of the time"). Minimum value: 0 Maximum value: 25 A higher score represents better quality of life and well-being, a lower score represents lower quality of life and well-being.

  1 week, 5 weeks and 6 months from date of discharge

Secondary Outcomes (3)

• Post-discharge Healthcare Utilization (self-report)

  1 week post discharge, 5 weeks post discharge and 6 months from date of discharge

• Post-discharge Healthcare Utilization (administrative data)

  1 week post discharge, 5 weeks post discharge and 6 months from date of discharge

• Maryland Assessment of Recovery Scale-Twelve (MARS-12)

  1 week post discharge, 5 weeks post discharge, 6 months post-discharge

Study Arms (1)

Mental Health Virtual Ward

EXPERIMENTAL

Admission to the Mental Health Virtual Ward

Behavioral: Virtual crisis stabilization support with a multi-disciplinary team

Interventions

Virtual crisis stabilization support with a multi-disciplinary team BEHAVIORAL

Daily 1:1 sessions with multidisciplinary team via a range of virtual modalities (videoconferencing, phone, text, email), group programming, self-management resources, remote home monitoring app, referrals and linkages to community programs.

Mental Health Virtual Ward

Eligibility Criteria

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

You may qualify if:

• Individuals admitted to the Mental Health Virtual Ward.

You may not qualify if:

• None.

Sponsors & Collaborators

• University of Manitoba: lead
• Health Sciences Centre Foundation, Manitoba: collaborator

Study Sites (1)

Crisis Stabilization Unit

Winnipeg, Manitoba, R3G 0N2, Canada

Location

Related Publications (19)

• Castillo BA, Shterenberg R, Bolton JM, Dewa CS, Pullia K, Hensel JM. Virtual Acute Psychiatric Ward: Evaluation of Outcomes and Cost Savings. Psychiatr Serv. 2023 Oct 1;74(10):1045-1051. doi: 10.1176/appi.ps.20220332. Epub 2023 Apr 5.

  PMID: 37016824 BACKGROUND

• Pullia K, Clavio A, Bolton JM, Hunzinger E, Svenne S, Hensel JM. Providing crisis care in a pandemic: a virtual based crisis stabilization unit. Front Health Serv. 2023 May 16;3:1030396. doi: 10.3389/frhs.2023.1030396. eCollection 2023.

  PMID: 37260632 BACKGROUND

• Palay J, Taillieu TL, Afifi TO, Turner S, Bolton JM, Enns MW, Smith M, Lesage A, Bakal JA, Rush B, Adair CE, Vigod SN, Clelland S, Rittenbach K, Kurdyak P, Sareen J. Prevalence of Mental Disorders and Suicidality in Canadian Provinces. Can J Psychiatry. 2019 Nov;64(11):761-769. doi: 10.1177/0706743719878987. Epub 2019 Oct 16.

  PMID: 31619055 BACKGROUND

• Butler A, Adair C, Jones W, et al. Towards quality mental health services in Canada: a comparison of performance indicators across 5 provinces. Vancouver, BC: Centre for Applied

  BACKGROUND

• Shared Health (2018). Shared Health Mental Health Program STATs 2018.

  BACKGROUND

• Crisis Response Services (2022). Crisis Response Services Annual Performance Report April 1, 2021-Mrach 31, 2022

  BACKGROUND

• Canadian Institute for Health Information, 2016.

  BACKGROUND

• Hensel JM, Bolton JM, Svenne DC, Ulrich L. Innovation through virtualization: Crisis mental health care during Covid-19. Canadian Journal of Community Mental Health. 2020 Nov 2;39(2):71-5.

  BACKGROUND

• Arsenault-Lapierre G, Henein M, Gaid D, Le Berre M, Gore G, Vedel I. Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. JAMA Netw Open. 2021 Jun 1;4(6):e2111568. doi: 10.1001/jamanetworkopen.2021.11568.

  PMID: 34100939 BACKGROUND

• Lee K, Bolton SL, Shterenberg R, Bolton JM, Hensel JM. Early Learning From a Low-Resource COVID-Response Virtual Mental Health Crisis Ward: Mixed Methods Study. JMIR Form Res. 2022 Nov 4;6(11):e39861. doi: 10.2196/39861.

  PMID: 36252139 BACKGROUND

• Ramsay C, Pickard R, Robertson C, Close A, Vale L, Armstrong N, Barocas DA, Eden CG, Fraser C, Gurung T, Jenkinson D, Jia X, Lam TB, Mowatt G, Neal DE, Robinson MC, Royle J, Rushton SP, Sharma P, Shirley MD, Soomro N. Systematic review and economic modelling of the relative clinical benefit and cost-effectiveness of laparoscopic surgery and robotic surgery for removal of the prostate in men with localised prostate cancer. Health Technol Assess. 2012;16(41):1-313. doi: 10.3310/hta16410.

  PMID: 23127367 BACKGROUND

• Frank L, Basch E, Selby JV; Patient-Centered Outcomes Research Institute. The PCORI perspective on patient-centered outcomes research. JAMA. 2014 Oct 15;312(15):1513-4. doi: 10.1001/jama.2014.11100. No abstract available.

  PMID: 25167382 BACKGROUND

• Bhattacharyya O, Hayden L, Hensel J. Health Services and Designing for Uncertainty: How a "lean startup" approach can help create an effective community-based program. Stanford Social Innovation Review. 2015;doi:10.48558/kw2z-6a08

  BACKGROUND

• Computerised cognitive behaviour therapy (cCBT) as treatment for depression in primary care (REEACT trial): large scale pragmatic randomised controlled trial. BMJ. 2016 Jan 12;352:i195. doi: 10.1136/bmj.i195. No abstract available.

  PMID: 26759375 BACKGROUND

• Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76. doi: 10.1159/000376585. Epub 2015 Mar 28.

  PMID: 25831962 BACKGROUND

• Newnham EA, Hooke GR, Page AC. Monitoring treatment response and outcomes using the World Health Organization's Wellbeing Index in psychiatric care. J Affect Disord. 2010 Apr;122(1-2):133-8. doi: 10.1016/j.jad.2009.06.005. Epub 2009 Jul 9.

  PMID: 19592116 BACKGROUND

• Idiculla T, Eisen S. Integrating science and practice. The BASIS-24 Behavior and symptom identification scale. ResearchGate. 2012; 2(2):16-19.

  BACKGROUND

• Eisen SV, Normand SL, Belanger AJ, Spiro A 3rd, Esch D. The Revised Behavior and Symptom Identification Scale (BASIS-R): reliability and validity. Med Care. 2004 Dec;42(12):1230-41. doi: 10.1097/00005650-200412000-00010.

  PMID: 15550803 BACKGROUND

• Drapalski AL, Medoff D, Unick GJ, Velligan DI, Dixon LB, Bellack AS. Assessing recovery of people with serious mental illness: development of a new scale. Psychiatr Serv. 2012 Jan;63(1):48-53. doi: 10.1176/appi.ps.201100109.

  PMID: 22227759 BACKGROUND

MeSH Terms

Conditions

Mental Disorders

Study Officials

• Jennifer Hensel, MD

  University of Manitoba and Shared Health Manitoba/Psychiatry

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 23, 2024
• First Posted: July 29, 2024
• Study Start: July 22, 2024
• Primary Completion: July 29, 2025
• Study Completion: July 29, 2025
• Last Updated: August 6, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)