Ignite Creation Date:
2024-05-06 @ 4:05 PM
Last Modification Date:
2024-10-26 @ 2:03 PM
Study NCT ID:
NCT04862897
Status:
RECRUITING
Last Update Posted:
2023-10-04
First Post:
2021-04-20
Brief Title:
Patient-controlled Admissions to Inpatient Care
Sponsor:
Karolinska Institutet
Organization:
Karolinska Institutet
Study Overview
Official Title:
Patient-controlled Admissions to Inpatient Care for Patients With Severe Psychiatric Conditions in Region Stockholm
Status:
RECRUITING
Status Verified Date:
2023-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Patient-controlled admissions refer to the possibility for patients with severe psychiatric conditions to admit themselves to inpatient care Compared to having a healthcare provider make this decision patient-controlled admissions are believed to decrease the need for involuntary care decrease symptom levels and increase quality of life and autonomy for the patient The current research project aims to evaluate the implementation of patient-controlled admissions to all patients with severe psychiatric conditions within Region Stockholm Sweden including child and adolescent psychiatry
Detailed Description:
Patients with severe psychiatric conditions represent a group who have extensive care needs and for whom few effective interventions exist Diagnoses such as schizophrenia and borderline personality disorder usually have a poor prognostic outlook in terms of recovery and patients often suffer from life-long disabilities Meanwhile their healthcare expenditures are typically high In case of increased symptoms and novel sickness spells healthcare providers make an assessment if admission to inpatient care is needed This gatekeeper-model is typical of most western countries and infers that the decision to be admitted is always made by a third party Since about a decade attempts at transferring the responsibility of admissions to patients themselves is being implemented and tested in several countries and contexts referred to as patient-controlled admissions The idea is to increase patient involvement enhance self-determination and improve their ability to manage signs of illness Patient-controlled admissions involve signing an agreement between inpatient care outpatient care and those patients that are deemed to have the highest care needs whereby the patients can contact an inpatient ward and be admitted when required Previous research have revealed that patient-controlled admissions decrease involuntary admissions and that both healthcare providers and patients are positive towards its use These studies have however been small and used limited outcome measures The current research project aims to study the results of implementing patient-controlled admissions to all patients with severe psychiatric conditions within Region Stockholm Sweden including child and adolescent psychiatry Apart from determining the possible impact on both number of admissions and days in admission voluntary and involuntary self-report measures will be used to assess the effects on symptom levels quality of life and autonomy
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None