A randomised controlled trial of short-term intensive community case management of severe mental illness: an assessment of its benefit to 'heavy users' of hospital services and cost effectiveness

ISRCTN	ISRCTN56473864
DOI	https://doi.org/10.1186/ISRCTN56473864
Protocol serial number	RDC00047
Sponsor	NHS R&D Regional Programme Register - Department of Health (UK)
Funder	NHS Executive London

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Dr Phil Harrison-Read
Scientific

North West London Mental Health NHS Trust
Community Intervention Project
144-150 High Road
Willesden
Brent
NW10 2PT
United Kingdom

Phone	+44 (0)20 8830 1260

Primary study design	Interventional
Study design	Randomised controlled trial
Secondary study design	Randomised controlled trial
Scientific title
Study objectives	This project aims to determine whether short-term intensive community case management provided to "heavy users" of psychiatric services when not in crisis is beneficial and cost-effective. The patient group to be studied will be identified from an audit of users of acute psychiatric beds at Central Middlesex Hospital and other providers; previously it was found that 10% of patients utilised over 60% of total bed days. Case management will be provided by CIP, a fully operational mental health team working with clients with severe mental health problems.
Ethics approval(s)	Not provided at time of registration
Health condition(s) or problem(s) studied	Mental and behavioural disorders: Schizophrenia and other psychoses; Mental and behavioural disorders: Depression, anxiety, neuroses
Intervention	Short-term intensive community case management vs standard care
Intervention type	Other
Primary outcome measure(s)	1. Hospital admission and service utilisation 2. Mental health assessments 3. Costing of services
Key secondary outcome measure(s)	Not provided at time of registration
Completion date	30/04/2000

Participant type(s)	Patient
Age group	Adult
Sex	Not Specified
Key inclusion criteria	The sampling frame will be drawn from the current register of heavy users of psychiatric inpatient services.
Key exclusion criteria	Users who are not currently living in Brent, are aged 65 or over, are current CIP clients or inpatients, or have a primary problem of alcohol or substance misuse.
Date of first enrolment	30/04/1995
Date of final enrolment	30/04/2000

North West London Mental Health NHS Trust

Brent
NW10 2PT
United Kingdom

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan