Ignite Creation Date:
2024-10-26 @ 3:37 PM
Last Modification Date:
2024-10-26 @ 3:37 PM
Study NCT ID:
NCT06556069
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-13
Brief Title:
Clinical Trial of Peer Support in the ED PCORI
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Peer Support Enhanced Behavioral Crisis Response Teams in the Emergency Department
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to conduct a clinical trial that tests the acceptability fidelity and feasibility of a peer support modified intervention for agitation management within the emergency department
Detailed Description:
The purpose of this study is to address the increasing burden of behavioral crises and agitation in the Emergency Department ED There are multiple significant gaps in patient centered care for agitation management and use of restraints in the context of behavioral crises leading to increased patient risks and reduced workplace safety Through expanding our previous Agitation Code Team ACT protocol with the addition of peer support workers we plan to develop a peer-support enhanced agitation code team PACT The PACT will address systems challenges experienced by staff safety threats to ED patients with mental illness and substance abuse disorders and reduce known structural biases in marginalized patient populations during restraintsedation decision making Additionally peer support workers delivery of trauma informed care is the key mechanism for mitigating bias in agitation management
This study will build on our teams extensive experience in using a patient-centered approach for investigating best practices in management of agitation in the ED Thus we propose a patient centered trauma informed structured team-based care delivery approach through the use of a multi-level multi-component peer-support enhanced agitation code team PACT intervention PACT will address systems challenges experienced by staff safety threats to ED patients with mental illness and substance use disorders and known structural biases against marginalized individuals during decisions in use of restraints for behavioral crises in the ED We hypothesize that the PACT intervention will improve patient outcomes related to behavioral crisis ie reduction in use of restraints engagement to follow-up care decrease in repeat ED visits and improve patient experience of behavioral acute care in the ED for patients presenting with behavioral health chief complaints especially those from racialethnic minority groups and historically marginalized populations compared to usual care
This study will build on our teams extensive experience in using a patient-centered approach for investigating best practices in management of agitation in the ED Thus we propose a patient centered trauma informed structured team-based care delivery approach through the use of a multi-level multi-component peer-support enhanced agitation code team PACT intervention PACT will address systems challenges experienced by staff safety threats to ED patients with mental illness and substance use disorders and known structural biases against marginalized individuals during decisions in use of restraints for behavioral crises in the ED We hypothesize that the PACT intervention will improve patient outcomes related to behavioral crisis ie reduction in use of restraints engagement to follow-up care decrease in repeat ED visits and improve patient experience of behavioral acute care in the ED for patients presenting with behavioral health chief complaints especially those from racialethnic minority groups and historically marginalized populations compared to usual care
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None