Viewing Study NCT06411951



Ignite Creation Date: 2024-05-19 @ 5:35 PM
Last Modification Date: 2024-10-26 @ 3:29 PM
Study NCT ID: NCT06411951
Status: ENROLLING_BY_INVITATION
Last Update Posted: 2024-05-16
First Post: 2024-04-30

Brief Title: Integrated Care After Repeated Psychiatric Hospital Stays - Evaluation of an Interdisciplinary Treatment Program
Sponsor: Michael Rufer
Organization: Triaplus AG Klinik Zugersee - Zentrum für Psychiatrie und Psychotherapie

Study Overview

Official Title: Integrated Care After Repeated Psychiatric Hospital Stays INTUK - Evaluation of an Interdisciplinary Treatment Program
Status: ENROLLING_BY_INVITATION
Status Verified Date: 2024-05
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: INTUK
Brief Summary: The study aims to evaluate the treatment effects as well as inhibiting and promoting factors in the implementation of the new INTUK care offer in a sample of heavy users ie psychiatric patients with 4 or more prior inpatient admissions at Klinik Zugersee by means of a longitudinal prospective-retrospective study For this purpose medical records will be analysed and participants will be asked to fill out questionnaires addressing different aspects of mental health quality of life and patient satisfaction In addition semi-structured interviews will be conducted with a subset of patients as well as staff members of the INTUK care offer
Detailed Description: In the mental health literature the terms heavy users or high utilizers have been coined to describe a relatively small group of people with chronic mental illness with excess use of inpatient psychiatric services Although these terms are used both nationally and internationally there is no consensus on how they are defined For example in Switzerland they are used by the Swiss Health Observatory Obsan and the Federal Office of Public Health Previous research suggests that even though only 10 to 30 of all inpatients qualify as heavy users their use of the healthcare systems resources is well above average In German-speaking countries there are currently only a few scientific studies on this group of patients especially on the question of which offers are best suited to better integrate existing models of care and how to make them more effective Due to the separate enumeration of outpatient and inpatient care in Switzerland as in many other countries integrated models of care that are particularly needed for this group of patients are currently lacking This can result in costly under- and incorrect treatment with more frequent discontinuations In addition apart from the treatment of medical issues other aspects often play an important role in the care of chronically ill patients such as socio-economic difficulties eg in the areas of work and housing or financial problems Therefore in the recently completed National Research Program NRP 74 Healthcare of the Swiss National Science Foundation the numerous interfaces between care settings were identified as a central field of action which is a particularly the case in patients with chronic illnesses In the highly specialized decentralized health care system in Switzerland coordination between multiple medical and non-medical services is difficult

INTUK Integrated care after repeated psychiatric hospital stays represents a new interprofessional and integrated care program at Klinik Zugersee which aims to bridge such interfaces and improve the treatment of people with chronically recurrent mental illness A team consisting of a senior physician nurse social worker and peer will deliver person-centered care tailored to individual needs in these mostly complex care situations Contact is initiated with the affected patients during their inpatient stay to build relationships and increase motivation for subsequent individually planned treatment and care For example round-table discussions can take place with the specialists and community-based providers involved in the follow-up treatment before the patient is discharged After discharge the same team continues to provide support and coordinate access to outpatient and semi-inpatient treatment counselling and self-help services In the case of social difficulties social work coaching or accompaniment to offices and social institutions takes place will be provided Another service is the joint drafting of a psychiatric living will to determine consent and rejection for future psychiatric treatments Wherever possible close others and the wider social environment are also included in consultation with the patient

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