Evaluation of a Collaborative Mental Health Care System

NCT06581874 | Recruiting

• 2 other identifiers: 2024-CHITS-0052024-A01115-42
• Study Type: interventional
• Target: 418
• Locations: 1 country
• Sites: 2

Brief 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).

Conditions

Psychiatric Adults Patients

Keywords

psychiatry; outpatient follow-up; emergency; ehealth; collaborative care

Outcome Measures

Primary Outcomes (1)

• Number of patients with a consultation with a psychiatrist, a psychologist or a general practioner one month after the consultation via the med@psy system or the visit to emergency department

  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 Outcomes (7)

• Outpatient follow-up at three months

  3 months

• Medical partners commitment (part 1)

  1 year

• Medical partners commitment (part 2)

  1 year

• Medical partners commitment (part 3)

  1 year

• Medical partners commitment (part 4)

  1 year

Study Arms (2)

Emergency

SHAM COMPARATOR

Adult patients presenting to the emergency department of the Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer, whether or not referred by their general practitioner.

Other: Clinical assessment by emergency psychiatrist

Med@Psy Platform

EXPERIMENTAL

Adult patients referred by their general practioner for a psychiatric consultation via the med@psy system.

Other: Psychiatric consultation booked through Med@Psy platform

Interventions

Clinical assessment by emergency psychiatrist OTHER

After a clinical assessment by the emergency department psychiatrist which does not lead to hospitalization, the patient will be given a psychiatric interview and sent home.

Emergency

Psychiatric consultation booked through Med@Psy platform OTHER

The patient will be seen within 48 hours after the consultation with his or her general practitioner by a psychiatrist taking part in the study.

Med@Psy Platform

Eligibility Criteria

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

You may qualify if:

• Patient ≥ 18 years ;
• Patient presenting to the Centre hospitalier de Toulon La Seyne sur Mer emergency department, with or without referral, and receiving psychiatric advice with discharge without hospitalization after clinical assessment (Group 1) or patients referred for psychiatric consultation via the Med@psy system (Group 2).
• Patient with indication for outpatient follow-up
• Patient with open social security rights

You may not qualify if:

• Patient's refusal to take part in research ;
• Patient currently being followed by a psychiatrist. Psychiatric follow-up is defined as at least one consultation with a psychiatrist in the last 3 months, outside an unscheduled care consultation or in an emergency department;
• Patients referred for a suicide attempt, violent or non-violent, serious or non-serious;
• Patients without a declared general practioner;
• Patients already included in the study;
• Patients who do not speak French;
• Patients under judicial protection (guardianship, curatorship, etc.) or safeguard of justice;
• Patient under compulsory care, under a care order or deprived of liberty.
• Any other reason which, in the investigator's opinion, could interfere

Sponsors & Collaborators

• Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer: lead

Study Sites (2)

Cabinet médical Korrichi (Med@psy program linked to this office)

Toulon, Var, 83000, France

RECRUITING

Centre Hospitalier Intercommunal Toulon La Seyne sur Mer emergency reception service

Toulon, Var, 83100, France

RECRUITING

Related Publications (4)

• Truelove S, Ng V, Kates N, Alloo J, Sunderji N, Patriquin MJ. Les soins de sante mentale en collaboration: Mobiliser les systemes de sante pour soutenir une approche d'equipe. Can Fam Physician. 2023 Feb;69(2):86-88. doi: 10.46747/cfp.690286. No abstract available. French.

  PMID: 36813512 BACKGROUND

• Jones SH, Thornicroft G, Coffey M, Dunn G. A brief mental health outcome scale-reliability and validity of the Global Assessment of Functioning (GAF). Br J Psychiatry. 1995 May;166(5):654-9. doi: 10.1192/bjp.166.5.654.

  PMID: 7620753 BACKGROUND

• Kates N, Arroll B, Currie E, Hanlon C, Gask L, Klasen H, Meadows G, Rukundo G, Sunderji N, Ruud T, Williams M. Improving collaboration between primary care and mental health services. World J Biol Psychiatry. 2019 Dec;20(10):748-765. doi: 10.1080/15622975.2018.1471218. Epub 2018 Jun 20.

  PMID: 29722600 BACKGROUND

• Dias Alves M, Jobic A, Rosso N, Abello M, Autret A, Vion-Dury J, Belzeaux R, Korrichi F. Evaluation of a collaborative care system in primary care in the implementation of ambulatory follow-up in mental health: A study protocol. PLoS One. 2026 Feb 25;21(2):e0343295. doi: 10.1371/journal.pone.0343295. eCollection 2026.

  PMID: 41739822 BACKGROUND

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Fabien Korrichi, MD

  STUDY DIRECTOR

Central Study Contacts

Asmaa Jobic

CONTACT

+33 4 83 77 20 61; asmaa.jobic@ch-toulon.fr

Fabien Korrichi, MD

CONTACT

docteurkorrichifabien@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 30, 2024
• First Posted: September 3, 2024
• Study Start: March 3, 2025
• Primary Completion (Estimated): March 1, 2027
• Study Completion (Estimated): June 1, 2027
• Last Updated: April 13, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

FR (2)