Ignite Creation Date:
2024-10-26 @ 3:43 PM
Last Modification Date:
2024-10-26 @ 3:43 PM
Study NCT ID:
NCT06655467
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-10-21
Brief Title:
Understanding Psychological Distress and Therapeutic Environment in the Emergency Department
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Understanding Psychological Distress and Therapeutic Environment in the Emergency Department
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-10
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:
UPDATE-ED
Brief Summary:
This research aims to establish the number of patients coming to Emergency Departments EDs with issues relating to mental health alcohol or drugs or in some form of psychological distress including those for whom this was not the main reason for attending ED We will collect anonymous information on age gender ethnicity when and how they came to the ED where and how they are cared for whilst in the ED and what happens to them afterwards With this information we hope to build a better picture of these patients so we can go on to design and test ways to improve their care in the future
Detailed Description:
Those presenting to the Emergency Department with mental ill health substance misuse or in crisis have a worse patient journey than those presenting with physical issues alone They wait twice as long to be seen1 and have poorer experiences Recognising this the RCEMJames Lind Alliance Priority Setting Partnership has placed mental health at the top of the Emergency Medicine research agenda The question asked is How can care for mental health patients be optimised whether presenting with eitherboth physical and mental health needs including appropriate space to see patients staff training early recognition of symptoms prioritisation and patient experience An explicit research agenda has yet to emerge from this very broad question At the most basic level the patient population needs to be defined the scale of the problem quantified and current practice patterns and variation described in detail
It has been estimated that the proportion of ED attendances related to mental health disorders is 4 However these estimates are derived from retrospective data and are dependent on accurate diagnosis coding There is a lack of data on dual diagnoses which Scotlands Mental Health strategy has outlined as a key area for action recommending opportunities to pilot improved arrangements for dual diagnosis for people with problem substance use and mental health diagnosis A literature review aiming to build a Typology of psychiatric emergency services in the UK emphasised wide variation in provision and heterogeneity of models No prospective study has yet quantified this variation in terms of waiting times types of assessment offered disposition and outcomes The success of other large observational studies on ED presentations such as syncope acute aortic syndromes and frailty suggests that a similar methodology could be applied to mental health and related presentations
It has been estimated that the proportion of ED attendances related to mental health disorders is 4 However these estimates are derived from retrospective data and are dependent on accurate diagnosis coding There is a lack of data on dual diagnoses which Scotlands Mental Health strategy has outlined as a key area for action recommending opportunities to pilot improved arrangements for dual diagnosis for people with problem substance use and mental health diagnosis A literature review aiming to build a Typology of psychiatric emergency services in the UK emphasised wide variation in provision and heterogeneity of models No prospective study has yet quantified this variation in terms of waiting times types of assessment offered disposition and outcomes The success of other large observational studies on ED presentations such as syncope acute aortic syndromes and frailty suggests that a similar methodology could be applied to mental health and related presentations
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