Mental HealthCATCH-EDNCT01622244
Coordinated Access to Care From Hospital Emergency Departments
A study testing Co-ordinated Access to Care from Hospital Emergency Departments, Coordinated Access to Care from Hospital Emergency Departments and Counseling and Resource Education in people with Mental Health, run by Unity Health Toronto at 2 sites in Canada.
Trial 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. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Mental Health
- What is being tested?
- Co-ordinated Access to Care from Hospital Emergency Departments, Coordinated Access to Care from Hospital Emergency Departments and Counseling and Resource Education
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 166 participants
- Where
- 2 sitesCanada
- Study dates
- Nov 2012to Sep 2014
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- -
Trial locations and contacts
2 sites in 1 country.
Canada2 sites
St. Michael's Hospital
Toronto, Ontario, M5B 1W8
St. Michael's Hospital
Toronto, Ontario, M5S 2N9
About this study
Official title: Coordinated Access to Care From Hospital Emergency Departments - Assessing Effectiveness and Cost-Effectiveness
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.
- Conditions
- Mental Health
- Being tested
- Co-ordinated Access to Care from Hospital Emergency Departments, Coordinated Access to Care from Hospital Emergency Departments, Counseling and Resource Education
- Medical subject headings
- Psychological Well-Being
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Co-ordinated Access to Care from Hospital Emergency DepartmentsOther
brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems
Coordinated Access to Care from Hospital Emergency DepartmentsOther
Participants will receive brief, intensive case management to connect them to health and social services and supports in the community
Counseling and Resource EducationBehavioural
Participants will receive usual care as well as an educational session and resource guide outlining community-based services
| Study group | Role | What they receive |
|---|---|---|
| Intervention arm | Experimental | Participants will receive brief, intensive case management to connect them to health and social services and supports in the community Receives: Other: Co-ordinated Access to Care from Hospital Emergency Departments; Other: 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 Receives: Behavioral: Counseling and Resource Education |
What is being measured
The primary outcome is the main question the study is designed to answer.
Frequency of Emergency Department visits
Measured: Baseline, 6 and 12 months
Secondary outcomes (4)
Changes in symptom severity
A scales with good psychometric properties, the Colorado Symptom scale, will be used
Measured: Baseline, 6 and 12 months
Days in hospital
Measured: baseline, 6 and 12 months
Changes in substance use
The Addiction Severity index will be used
Measured: baseline 6 and 12 months
Changes in health related quality of life
The SF-12 and EQ-5D will be used
Measured: baseline, 6 and 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jun 2012 (estimated)
- Study startNov 2012
- Primary completionSep 2013
- Study completionSep 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Mental HealthStudies of the same condition, open and under way.
- More trials run by Unity Health TorontoThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 166 participants (actual)
Sponsor and investigators
- Lead sponsor
- Unity Health Toronto
- Sponsor type
- University, hospital or other
- Collaborators
- Ontario Ministry of Health and Long Term Care
- Responsible party
- Sponsor
- Investigators
- Vicky Stergiopoulos, MD, MHSc, Principal investigator, Unity Health Toronto
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01622244
- Sponsor's protocol ID
- StMichael
- Acronym
- CATCH-ED
- Status last verified
- Jun 2012
- First submitted
- 4 Jun 2012
- Last updated
- 30 Oct 2014
- Results posted
- No
- Data monitoring committee
- No
Publications
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.
PubMed 27557705
Study at a glance
From the registry record, last updated by the sponsor on 30 Oct 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Coordinated Access to Care From Hospital Emergency Departments - Assessing Effectiveness and Cost-Effectiveness
- ClinicalTrials.gov ID
- NCT01622244
- Acronym / sponsor ID
- CATCH-ED / StMichael
- Conditions
- Mental Health
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 166 participants (actual)
- Lead sponsor
- Unity Health TorontoUniversity, hospital or other
- Collaborators
- Ontario Ministry of Health and Long Term Care
- Study start
- Nov 2012
- Primary completion
- Sep 2013 (actual)
- Study completion
- Sep 2014 (actual)
- First posted
- 19 Jun 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention arm | Experimental | Other: Co-ordinated Access to Care from Hospital Emergency Departments, Other: Coordinated Access to Care from Hospital Emergency DepartmentsParticipants will receive brief, intensive case management to connect them to health and social services and supports in the community |
| Counseling and Resource Education (CARE) | Active comparator | Behavioral: Counseling and Resource EducationParticipants 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 |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- 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.
Key exclusion criteria (1 listed)
- -
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Co-ordinated Access to Care from Hospital Emergency Departmentsbrief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems | Other | Intervention arm |
| Coordinated Access to Care from Hospital Emergency DepartmentsParticipants will receive brief, intensive case management to connect them to health and social services and supports in the community | Other | Intervention arm |
| Counseling and Resource EducationParticipants will receive usual care as well as an educational session and resource guide outlining community-based services | Behavioural | Counseling and Resource Education (CARE) |
Primary outcome
Frequency of Emergency Department visits
Time frame: Baseline, 6 and 12 months
4 secondary outcomes
Changes in symptom severity
Time frame: Baseline, 6 and 12 months
Days in hospital
Time frame: baseline, 6 and 12 months
Changes in substance use
Time frame: baseline 6 and 12 months
Changes in health related quality of life
Time frame: baseline, 6 and 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Oct 2014.
- Derived from this study: PubMed 27557705Stergiopoulos 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Vicky Stergiopoulos, MD, MHSc principal investigator
Unity Health Toronto
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Co-ordinated Access to Care from Hospital Emergency Departments, Coordinated Access to Care from Hospital Emergency Departments and Counseling and Resource Education in people with Mental Health, run by Unity Health Toronto at 2 sites in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Frequency of Emergency Department visits (time frame: Baseline, 6 and 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01622244, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2014.