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 |
| Protocol serial number | Reference number BE 2502/3-1 at German Research Foundation (DFG) |
| Sponsor | University Hospital Ulm (Germany) |
| Funder | 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
Contact information
Prof Thomas Becker
Scientific
Scientific
Ulm University
Dept. of Psychiatry II
Ludwig-Heilmeyer-Str. 2
Guenzburg
89312
Germany
| Phone | +49 (0)8221 96 2001 |
|---|---|
| t.becker@bkh-guenzburg.de |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Randomised controlled trial |
| Secondary study design | Randomised controlled trial |
| 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(s) |
High utilisers of psychiatric services who receive a needs-oriented discharge planning and monitoring programme will show fewer hospital days and readmissions to hospital |
| Key secondary outcome measure(s) |
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. |
| Completion date | 31/12/2008 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | All |
| Target sample size at registration | 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
89312
Germany
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | 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 | |
| Study website | Study website | 11/11/2025 | 11/11/2025 | No | Yes |
