Evaluation of a collaborative mental health care system for psychiatric patients

Evaluation of a Collaborative Mental Health Care System

This study is testing a new system that helps emergency department patients get quicker access to mental health care by making it easier for their doctors to book follow-up appointments.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 418 (estimated)
• Ages: 18 Years and up
• Sex: All
• Sponsor: Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer (other)
• Locations: 2 sites (Toulon, Var and 1 other locations)
• Trial ID: NCT06581874 on ClinicalTrials.gov

What this trial studies

This study evaluates the 'med@psy' system, which aims to improve access to outpatient psychiatric care for patients visiting emergency departments. It facilitates real-time booking of psychiatric consultations for general practitioners (GPs), addressing the challenges they face in referring patients for mental health care. The study compares the proportion of patients receiving outpatient follow-up one month after an emergency visit without hospitalization. By optimizing the organization of patient care and follow-up, the study seeks to enhance mental health outcomes.

Who should consider this trial

Good fit: Ideal candidates include adults aged 18 and older who visit the emergency department for psychiatric advice and are eligible for outpatient follow-up.

Not a fit: Patients currently under psychiatric care or those who have recently seen a psychiatrist may not benefit from this study.

Why it matters

Potential benefit: If successful, this system could significantly improve access to outpatient psychiatric care and reduce unnecessary emergency visits.

How similar studies have performed: Other studies have shown success with collaborative care models in mental health, indicating potential for this approach.

Eligibility criteria

Inclusion Criteria:

* Patient ≥ 18 years ;
* Patient presenting to the Centre hospitalier de Toulon La Seyne sur Mer emergency department, with or without referral, and receiving psychiatric advice with discharge without hospitalization after clinical assessment (Group 1) or patients referred for psychiatric consultation via the Med@psy system (Group 2).
* Patient with indication for outpatient follow-up
* Patient with open social security rights

Exclusion Criteria:

* Patient's refusal to take part in research ;
* Patient currently being followed by a psychiatrist. Psychiatric follow-up is defined as at least one consultation with a psychiatrist in the last 3 months, outside an unscheduled care consultation or in an emergency department;
* Patients referred for a suicide attempt, violent or non-violent, serious or non-serious;
* Patients without a declared general practioner;
* Patients already included in the study;
* Patients who do not speak French;
* Patients under judicial protection (guardianship, curatorship, etc.) or safeguard of justice;
* Patient under compulsory care, under a care order or deprived of liberty.
* Any other reason which, in the investigator's opinion, could interfere

Where this trial is running

Toulon, Var and 1 other locations

• Cabinet médical Korrichi (Med@psy program linked to this office) — Toulon, Var, France (RECRUITING)
• Centre Hospitalier Intercommunal Toulon La Seyne sur Mer emergency reception service — Toulon, Var, France (RECRUITING)

Study contacts

• Study coordinator: Asmaa Jobic

Conditions: Psychiatric Adults Patients, psychiatry, outpatient follow-up, emergency, ehealth, collaborative care