Effectiveness and Cost-Effectiveness of Needs-Oriented Discharge Planning and Monitoring for High Utilisers of Psychiatric Services

ISRCTN	ISRCTN59603527
DOI	https://doi.org/10.1186/ISRCTN59603527
Secondary identifying numbers	Reference number BE 2502/3-1 at German Research Foundation (DFG)

Submission date: 28/09/2005
Registration date: 28/10/2005
Last edited: 30/07/2008

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Mental and Behavioural Disorders

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

Study website

Contact information

Prof Thomas Becker
Scientific

Ulm University
Dept. of Psychiatry II
Ludwig-Heilmeyer-Str. 2
Guenzburg
89312
Germany

Phone	+49 (0)8221 96 2001
Email	t.becker@bkh-guenzburg.de

Study information

Study design	Randomised controlled trial
Primary study design	Interventional
Secondary study design	Randomised controlled trial
Study setting(s)	Not specified
Study type	Treatment
Scientific title
Study acronym	NODPAM
Study objectives	Primary: The intervention will lead to a significant reduction of length and number of psychiatric inpatient stays. Secondary: The intervention will entail better quality of life and clinical outcome, and will show cost-effectiveness and cost-utility.
Ethics approval(s)	Not provided at time of registration
Health condition(s) or problem(s) studied	Severe mental disorder
Intervention	Patients in the intervention group will be offered a manualised needs-led discharge planning and monitoring intervention consisting of two sessions. The first session (at discharge from the inpatient service) will result in a needs-led post-discharge treatment plan which will be forwarded to the clinician responsible for aftercare. The second session (three months after discharge) will serve to monitor the adequacy of the initial treatment plan in cooperation with the outpatient clinician. Control: Usual care
Intervention type	Other
Primary outcome measure	High utilisers of psychiatric services who receive a needs-oriented discharge planning and monitoring programme will show fewer hospital days and readmissions to hospital
Secondary outcome measures	Subjects receiving the intervention will show better compliance with aftercare as well as better clinical outcome and quality of life. Furthermore, the intervention will show cost-effectiveness and cost-utility, and community-based psychiatrists whose patients receive the new discharge protocol will show better compliance with treatment recommendations.
Overall study start date	01/01/2006
Completion date	31/12/2008

Eligibility

Participant type(s)	Patient
Age group	Adult
Sex	Both
Target number of participants	490
Key inclusion criteria	1. Adult age with a primary diagnosis of schizophrenia, bipolar disorder, or major depression 2. Have been identified as high utilisers of psychiatric inpatient services
Key exclusion criteria	Primary diagnosis of substance abuse
Date of first enrolment	01/01/2006
Date of final enrolment	31/12/2008

Locations

Countries of recruitment

Germany

Study participating centre

Ulm University

Guenzburg
89312
Germany

Sponsor information

University Hospital Ulm (Germany)
Hospital/treatment centre

Albert-Einstein-Allee 29
Ulm
89070
Germany

Website	http://www.uni-ulm.de/klinik/
"ROR"	https://ror.org/05emabm63

Funders

Funder type

Research organisation

Reference number BE 2502/3-1 at German Research Foundation (DFG)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
Publication and dissemination plan	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Protocol article	Protocol	21/07/2008		Yes	No