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ISRCTN
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ISRCTN63111827
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ClinicalTrials.gov identifier
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Public title
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Patient involvement in improving the evidence base on inpatient care: changing service configuration - the "triage" model
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Scientific title
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Acronym
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N/A
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Serial number at source
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N/A
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Study hypothesis
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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
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Ethics approval
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Ethics approval received from Bexley and Greenwich NHS Research Ethics Committee on the 27th November 2007 (ref: 07/H0809/49)
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Study design
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Multicentre comparison of two psychiatric inpatient models
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Countries of recruitment
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United Kingdom
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Disease/condition/study domain
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Acutely mentally ill patients
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Participants - inclusion criteria
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All adult psychiatric inpatients aged between 18 and 65 years, either sex.
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Participants - exclusion criteria
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No exclusion criteria
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Anticipated start date
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01/11/2008
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Anticipated end date
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31/10/2012
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Status of trial
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Ongoing
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Patient information material
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Not available in web format, please email emese.csipke@iop.kcl.ac.uk to request a patient information sheet
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Target number of participants
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400
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Interventions
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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.
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Primary outcome measure(s)
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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.
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Secondary outcome measure(s)
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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.
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Sources of funding
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National Institute of Health Research (NIHR) (UK) - Programme Grant for Applied Research (PGfAR) (ref: RP-PG-0606-1050)
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Trial website
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Publications
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Contact name
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Prof
Til
Wykes
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Address
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Department of Psychology
PO Box 77
Institute of Psychiatry
King's College London
De Crespigny Park
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City/town
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London
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Zip/Postcode
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SE5 8AF
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Country
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United Kingdom
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Sponsor
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Institute of Psychiatry, King's College London (UK)
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Address
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De Crespigny Park
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City/town
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London
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Zip/Postcode
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SE5 8AF
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Country
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United Kingdom
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Sponsor website:
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http://www.iop.kcl.ac.uk/
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Date applied
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10/06/2008
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Last edited
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24/07/2008
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Date ISRCTN assigned
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24/07/2008
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