Condition category
Mental and Behavioural Disorders
Date applied
10/06/2008
Date assigned
24/07/2008
Last edited
15/05/2015
Prospective/Retrospective
Prospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Prof Til Wykes

ORCID ID

Contact details

Department of Psychology
PO Box 77
Institute of Psychiatry
King's College London
De Crespigny Park
London
SE5 8AF
United Kingdom

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

Patient involvement in improving the evidence base on inpatient care: changing service configuration - the 'triage' model

Acronym

Study hypothesis

The aims of this study are to:
1. Explore the effects of different models of triage in terms of their effects on bed use and costs
2. Explore the perceived benefits and costs viewed by service users and staff
3. Identify factors that might guide the development of the most effective and sustainable triage model

Ethics approval

Bexley and Greenwich NHS Research Ethics Committee, 27/11/2007, ref: 07/H0809/49

Study design

Multicentre comparison of two psychiatric inpatient models

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Hospitals

Trial type

Treatment

Patient information sheet

Not available in web format, please email emese.csipke@iop.kcl.ac.uk to request a patient information sheet

Condition

Acutely mentally ill patients

Intervention

A comparison of outcomes for staff/patients in these two models of inpatient 'triage':

Model 1:
It is a separate ward accepting all inpatient admissions for a maximum of seven days. Stabilisation takes place over three days, the home treatment team is consulted at days three and four and a decision to admit to longer term care or home treatment is made with a resulting discharge or transfer by day seven. This service has a dedicated 'triage' consultant.

Model 2:
This consists of a triage system in every ward involving a management round with senior medical input on a daily basis. The home treatment team is managed separately but will liaise with teams in each ward.

Intervention type

Other

Phase

Not Specified

Drug names

Primary outcome measures

1. User perceptions of inpatient services (currently being developed)
2. Staff perceptions of inpatient services (currently being developed)
3. Clinical service outcomes:
3.1. Readmission rates
3.2. Length of stay and mental health act detention

To be assessed at baseline, month 6, month 12 and month 18.

Secondary outcome measures

1. Client Service Receipt Inventory for Inpatient Care (CSRI-I): to provide details of services which will be linked to costs
2. Nursing care data: frequency of 1:1 nursing, use of agency staff
3. Ward Atmosphere Scale
4. Maslach Burnout Inventory to measure burn out and positive attributes of the work place
5. Routine incident reporting from electronic records
6. Service level data: number of admissions, length of stay, bed occupancy etc.
7. Staff movement: measured as length of stay, number of new staff and their ward origin

To be assessed at baseline, month 6, month 12 and month 18.

Overall trial start date

01/11/2008

Overall trial end date

31/10/2012

Reason abandoned

Eligibility

Participant inclusion criteria

All adult psychiatric inpatients aged between 18 and 65 years, either sex

Participant type

Patient

Age group

Adult

Gender

Both

Target number of participants

400

Participant exclusion criteria

No exclusion criteria

Recruitment start date

01/11/2008

Recruitment end date

31/10/2012

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Institute of Psychiatry, King's College London
London
SE5 8AF
United Kingdom

Sponsor information

Organisation

Institute of Psychiatry, King's College London (UK)

Sponsor details

De Crespigny Park
London
SE5 8AF
United Kingdom

Sponsor type

University/education

Website

http://www.iop.kcl.ac.uk/

Funders

Funder type

Government

Funder name

National Institute of Health Research (NIHR) (UK) - Programme Grant for Applied Research (PGfAR) (ref: RP-PG-0606-1050)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

Publication citations

Additional files

Editorial Notes