Adaptation Plan for Culturally Competent Care (PAACI) in the Acute Psychiatric Unit.

NCT06879093 | Active Not Recruiting

• 1 other identifier: 2021/10025
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

This observational study aims to design, implement, and evaluate the Adaptation Plan for Culturally Competent Care (PAACI) in the Acute Psychiatric Unit of Parc de Salut Mar, Barcelona. The study focuses on improving healthcare quality for immigrant patients by reducing cultural and linguistic barriers in psychiatric care. The PAACI program includes educational materials in multiple languages, enhanced collaboration with social services, training for healthcare professionals in cultural competence, and the use of interpretation devices. Key outcomes include reducing mechanical restraints, improving patient adherence to treatment, decreasing hospital readmissions, and increasing outpatient care engagement. The study will analyze data from immigrant patients admitted to the Acute Psychiatric Unit one year before and after the implementation of PAACI, using various clinical and patient satisfaction indicators. This initiative aims to promote equal and equitable healthcare for diverse populations, potentially serving as a model for other mental health units.

Conditions

Mental Disorders; Cultural Competency; Psychiatric Hospitalization

Keywords

Cultural Competence; Mental Health Equity; Psychiatric Care; Immigrant Health; Acute Psychiatric Unit; Cross-Cultural Psychiatry; Health Disparities

Outcome Measures

Primary Outcomes (1)

• reduction in mechanical restraints

  this measure evaluates the impact of the paaci program on the total number of mechanical restraints used in immigrant patients admitted to the acute psychiatric unit. data will be compared before and after program implementation.

  12 months after paaci implementation

Secondary Outcomes (4)

• Hospital Readmission Rate Among Immigrant Patients

  12 months after paaci implementation

• Length of Hospital Stay for Immigrant Patients

  12 months after PAACI implementation

• Patient adherence to outpatient mental health services

  12 months after PAACI implementation

• patient and staff satisfaction levels

  12 months after paaci implementation

Study Arms (1)

Immigrant patients in acute psychiatric unit

This cohort includes immigrant patients admitted to the Acute Psychiatric Unit at Parc de Salut Mar. The study will analyze key clinical indicators before and after the implementation of the Adaptation plan for culturally competent care (PAACI) to assess its impact on patient outcomes.

Eligibility Criteria

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

Study Population

this study focuses on immigrant patients admitted to the acute psychiatric unit at hospital del mar. participants will be individuals aged 18 or older who experience acute mental health crises requiring hospitalization. the study will analyze clinical outcomes before and after the implementation of the paaci program, which aims to improve culturally competent psychiatric care.

You may qualify if:

• immigrant patients admitted to the acute psychiatric unit
• age 18 or older
• hospitalization during the study period (12 months post-paaci implementation)

You may not qualify if:

• patients with severe cognitive impairment preventing informed consent
• individuals with acute medical conditions requiring transfer to another service
• refusal to participate or withdraw consent

Sponsors & Collaborators

• Parc de Salut Mar: lead

Study Sites (1)

Hospital del Mar-Centro Forum

Barcelona, Barcelona, 08902, Spain

Location

Related Publications (5)

• Elwell-Sutton TM, Jiang CQ, Zhang WS, Cheng KK, Lam TH, Leung GM, Schooling CM. Inequality and inequity in access to health care and treatment for chronic conditions in China: the Guangzhou Biobank Cohort Study. Health Policy Plan. 2013 Aug;28(5):467-79. doi: 10.1093/heapol/czs077. Epub 2012 Sep 16.

  PMID: 22987824 BACKGROUND

• Pereira ME, Alvaro Estramiana JL, Schweiger Gallo I. Essentialism and the expression of social stereotypes: a comparative study of Spain, Brasil and England. Span J Psychol. 2010 Nov;13(2):808-17. doi: 10.1017/s1138741600002468.

  PMID: 20977029 BACKGROUND

• Dein S. ABC of mental health. Mental health in a multiethnic society. BMJ. 1997 Aug 23;315(7106):473-6. doi: 10.1136/bmj.315.7106.473. No abstract available.

  PMID: 9284670 BACKGROUND

• Bhui K, Warfa N, Edonya P, McKenzie K, Bhugra D. Cultural competence in mental health care: a review of model evaluations. BMC Health Serv Res. 2007 Jan 31;7:15. doi: 10.1186/1472-6963-7-15.

  PMID: 17266765 BACKGROUND

• Betancourt TS, Newnham EA, Birman D, Lee R, Ellis BH, Layne CM. Comparing Trauma Exposure, Mental Health Needs, and Service Utilization Across Clinical Samples of Refugee, Immigrant, and U.S.-Origin Children. J Trauma Stress. 2017 Jun;30(3):209-218. doi: 10.1002/jts.22186. Epub 2017 Jun 6.

  PMID: 28585740 BACKGROUND

MeSH Terms

Conditions

Mental Disorders

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 12 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Psychiatrist and coordinator of the psychiatric acute unit.

Study Record Dates

• First Submitted: March 11, 2025
• First Posted: March 17, 2025
• Study Start: January 1, 2023
• Primary Completion: December 31, 2025
• Study Completion: December 31, 2025
• Last Updated: March 17, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)