Ignite Creation Date:
2024-05-06 @ 8:06 PM
Last Modification Date:
2024-10-26 @ 3:20 PM
Study NCT ID:
NCT06250296
Status:
RECRUITING
Last Update Posted:
2024-07-03
First Post:
2024-01-29
Brief Title:
Evaluation of a New Recovery-oriented Model of Psychiatric Inpatient Care
Sponsor:
University Hospital Geneva
Organization:
University Hospital Geneva
Study Overview
Official Title:
Evaluation of a New Recovery-oriented Model of Care on Psychiatric Inpatient Wards
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This project will study the effects of a major reorganization of psychiatric inpatient wards This reorganization will affect many aspects of day-to-day work with the aim of improving the individualization of care the integration of relatives and the participation of the patients in treatment planning This new organization will initially involve a first pilot ward before being extended to other wards
The aim of this project is to understand whether this new organization has positive effects on the use of coercive measures the average length of stay the improvement in patients clinical condition as well as on patient satisfaction their perception of coercion the wards atmosphere on the unit and patients personal recovery
All patients admitted to three wards of the Division of adult psychiatry of the Geneva University Hospital aged 18 and over with a good knowledge of French and being treated for any type of diagnosis except dementia are invited to take part in the study They will be assessed at discharge regarding the selected outcomes The study will last 18 months during the first 9 months the new model will be applied on the pilot ward and the wo other wards will serve as comparison wards After 9 months the model will also be applied to these other two wards
The aim of this project is to understand whether this new organization has positive effects on the use of coercive measures the average length of stay the improvement in patients clinical condition as well as on patient satisfaction their perception of coercion the wards atmosphere on the unit and patients personal recovery
All patients admitted to three wards of the Division of adult psychiatry of the Geneva University Hospital aged 18 and over with a good knowledge of French and being treated for any type of diagnosis except dementia are invited to take part in the study They will be assessed at discharge regarding the selected outcomes The study will last 18 months during the first 9 months the new model will be applied on the pilot ward and the wo other wards will serve as comparison wards After 9 months the model will also be applied to these other two wards
Detailed Description:
The project is designed as a prospective observational study supporting the planned reorganization of inpatient care with the implementation of a new recovery-oriented model of care As part of this reorganization the new model will be first implemented as a pilot on a first acute psychiatric ward After nine months it is planned to be generalized to two comparable other acute wards These two wards will serve within the current project as a comparison group to assess the effects of the new model
Patients hospitalized on these three wards will be included in the study over a period of 18 months covering the initial implementation of the model and its subsequent extension to the other two wards
Three psychiatric wards of the Division of adult Psychiatry SPA will participate in the study These wards are dedicated to general psychiatric admissions following a sectorization plan and operate with an open-door policy wherein the wards doors are uninterruptedly open between 730 am and 11 pm Patients aged 18 to 65 with all types of diagnosis at the exception of primary substance-abuse disorders and dementia which are mainly treated in other divisions are treated on these wards
All patients admitted to these wards during the study period will be considered for participation All diagnoses will be included except for dementia Patients who are not able to give their written consent to participation andor with insufficient knowledge of French will be excluded from the trial
Patient fulfilling the inclusion criteria will be contacted before discharge and offered to participate in the study They will be informed in writing of the purpose of the study and their written consent will be collected
Data on coercive measures length of stay as well as socio-demographic characteristics diagnosis and admission and discharge HoNOS scores will be extracted from the patients electronic record
The assessment of patients satisfaction perceived coercion personal recovery patients appraisal of the ward atmosphere and their perception of care as supporting to their recovery will be carried at discharge using digital questionnaires on the REDCAP platform using tablets The planned assessment will take about 30 to 45 minutes
Patients hospitalized on these three wards will be included in the study over a period of 18 months covering the initial implementation of the model and its subsequent extension to the other two wards
Three psychiatric wards of the Division of adult Psychiatry SPA will participate in the study These wards are dedicated to general psychiatric admissions following a sectorization plan and operate with an open-door policy wherein the wards doors are uninterruptedly open between 730 am and 11 pm Patients aged 18 to 65 with all types of diagnosis at the exception of primary substance-abuse disorders and dementia which are mainly treated in other divisions are treated on these wards
All patients admitted to these wards during the study period will be considered for participation All diagnoses will be included except for dementia Patients who are not able to give their written consent to participation andor with insufficient knowledge of French will be excluded from the trial
Patient fulfilling the inclusion criteria will be contacted before discharge and offered to participate in the study They will be informed in writing of the purpose of the study and their written consent will be collected
Data on coercive measures length of stay as well as socio-demographic characteristics diagnosis and admission and discharge HoNOS scores will be extracted from the patients electronic record
The assessment of patients satisfaction perceived coercion personal recovery patients appraisal of the ward atmosphere and their perception of care as supporting to their recovery will be carried at discharge using digital questionnaires on the REDCAP platform using tablets The planned assessment will take about 30 to 45 minutes
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None