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 Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
166
brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems
Participants will receive brief, intensive case management to connect them to health and social services and supports in the community
Participants will receive usual care as well as an educational session and resource guide outlining community-based services
St. Michael's Hospital
Toronto, Ontario, Canada
St. Michael's Hospital
Toronto, Ontario, Canada
Frequency of Emergency Department visits
Time frame: Baseline, 6 and 12 months
Changes in symptom severity
A scales with good psychometric properties, the Colorado Symptom scale, will be used
Time frame: Baseline, 6 and 12 months
Days in hospital
Time frame: baseline, 6 and 12 months
Changes in substance use
The Addiction Severity index will be used
Time frame: baseline 6 and 12 months
Changes in health related quality of life
The SF-12 and EQ-5D will be used
Time frame: baseline, 6 and 12 months
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