Condition category
Mental and Behavioural Disorders
Date applied
13/08/2004
Date assigned
05/10/2004
Last edited
03/06/2008
Prospective/Retrospective
Prospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

http://www.iop.kcl.ac.uk/iopweb/virtual/?path=/hsr/prism/tag/

Contact information

Type

Scientific

Primary contact

Dr Mike Slade

ORCID ID

Contact details

Health Services Research Department (Box P029)
David Goldberg building
Institute of Psychiatry
De Crespigny Park
Denmark Hill
London
SE5 8AF
United Kingdom
+44 (0)20 7848 0795
m.slade@iop.kcl.ac.uk

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

SDO 71/2003

Study information

Scientific title

Acronym

TAG

Study hypothesis

Primary hypothesis: Using the TAG will significantly improve the agreement between the GP and the adult mental health team on the appropriateness of the referral
Secondary hypotheses: Receiving a TAG with a referral letter will make it significantly easier for the mental health team to identify
a. The urgency of the referral
b. The most appropriate professional to make the initial assessment

Ethics approval

Added as of 06/08/2007: The study was approved by Metropolitan Multi-centre Ethics Committee (04/MRE11/8) with Local REC approval in London and Manchester, and research governance support from the relevant Primary Care Trusts and Mental Health Trusts.

Study design

Randomised controlled trial.

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Not specified

Trial type

Not Specified

Patient information sheet

Condition

Mental health

Intervention

Control group: referrers to CMHTs asked to make referrals using a referral letter or form as per existing practice.
Intervention group: referrers to CMHTs asked to complete a Threshold Assessment Grid (TAG) in addition to a referral letter, and given guidance on its contents.

Amendments to the trial as of 01 June 2005:
1. We will now be paying GP practices £100 to cover administrative costs
incurred in providing us with service use data for the 5-10 patients they referred to mental health teams during Jan - June 2005. To facilitate this
service use data collection, the name and date of birth of referred
patients will be recorded at the mental health team referral meeting.
2. We will now be paying GPs £100 for their time in being interviewed to learn about their experiences of using TAG
3. We will be interviewing key informants in mental health teams about their experience in receiving TAGs with the referral letter
4. We will be extending the randomised controlled trial (RCT) from 6 to 9 months, so it finishes on 30 September 2005 instead of 30 June 2005.

Intervention type

Other

Phase

Not Specified

Drug names

Primary outcome measures

CMHT rating of appropriateness of the referral.

Secondary outcome measures

CMHT rating of the quality of information to inform decision-making about urgency of the referral and which professional should make the initial assessment. In addition to this, service usage data will be collected to allow cost effectiveness analysis.

Overall trial start date

01/01/2005

Overall trial end date

30/09/2005

Reason abandoned

Eligibility

Participant inclusion criteria

General Practitioners (GPs) and other referrers to Community Mental Health Teams (CMHTs).

Participant type

Patient

Age group

Adult

Gender

Both

Target number of participants

73 GP practices (37 control, 36 intervention)

Participant exclusion criteria

None

Recruitment start date

01/01/2005

Recruitment end date

30/09/2005

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Health Services Research Department (Box P029)
London
SE5 8AF
United Kingdom

Sponsor information

Organisation

NHS Service Delivery and Organisation Programme (SDO) (UK)

Sponsor details

NCCSDO
London School of Hygiene and Tropical Medicine
99 Gower Street
London
WC1E 6AZ
United Kingdom
+44 (0)20 7612 7983
sdo@lshtm.ac.uk

Sponsor type

Government

Website

Funders

Funder type

Government

Funder name

NHS Service Delivery and Organisation R&D Programme (UK) (ref: SDO 71/2003)

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

Results:
1. http://www.ncbi.nlm.nih.gov/pubmed/17651489
2. http://www.ncbi.nlm.nih.gov/pubmed/18515810

Publication citations

  1. Chew-Graham C, Slade M, Montana C, Stewart M, Gask L, A qualitative study of referral to community mental health teams in the UK: exploring the rhetoric and the reality., BMC Health Serv Res, 2007, 7, 117, doi: 10.1186/1472-6963-7-117.

  2. Slade M, Gask L, Leese M, McCrone P, Montana C, Powell R, Stewart M, Chew-Graham C, Failure to improve appropriateness of referrals to adult community mental health services--lessons from a multi-site cluster randomized controlled trial., Fam Pract, 2008, 25, 3, 181-190, doi: 10.1093/fampra/cmn025.

Additional files

Editorial Notes