Measuring the Effect of the Early assessment Team (MEET) for patients referred to outpatient mental health care: a study protocol for a randomised controlled trial

被引：2

作者：

Kvestad, Camilla Angelsen ^{[1
,2
]}

Holte, Ingvild Ronneberg ^{[1
,2
]}

Reitan, Solveig Klaebo ^{[1
,2
]}

Chiappa, Charlotte S. ^{[1
]}

Helle, Gunn Karin ^{[1
]}

Skjervold, Anne E. ^{[1
]}

Rosenlund, Anne Marit A. ^{[1
]}

Watne, Oyvind ^{[1
]}

Brattland, Heidi ^{[1
,6
]}

Helle, Jon ^{[1
]}

Follestad, Turid ^{[3
]}

Hara, Karen Walseth ^{[4
,5
]}

Holgersen, Katrine Hoyer ^{[1
,6
]}

机构：

[1] Trondheim Reg & Univ Hosp, St Olavs Hosp, Nidelv Community Mental Hlth Ctr, Clin Mental Hlth, Trondheim, Norway

[2] Norwegian Univ Sci & Technol, Dept Mental Hlth, Trondheim, Norway

[3] Norwegian Univ Sci & Technol, Fac Med & Hlth Sci, Clin Res Unit Cent Norway, Trondheim, Norway

[4] Fac Med & Hlth Sci, Dept Publ Hlth & Nursing, Trondheim, Norway

[5] Norwegian Labour & Welf Adm Trondelag, Trondheim, Norway

[6] Norwegian Univ Sci & Technol, Dept Psychol, Trondheim, Norway

来源：

TRIALS | 2024年 / 25卷 / 01期

关键词：

Community mental health centre; Health service development; Intake assessment; General mental health; COGNITIVE-BEHAVIORAL THERAPY; IDENTIFICATION TEST AUDIT; SOCIAL-ADJUSTMENT SCALE; ALL-CAUSE MORTALITY; PSYCHOMETRIC PROPERTIES; TEST DUDIT; DISORDERS; MULTIMORBIDITY; PREVALENCE; DEPRESSION;

D O I：

10.1186/s13063-024-08028-6

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

BackgroundReferrals to specialised mental health care (such as community mental health centres; CMHC) have increased over the last two decades. Patients often have multifaceted problems, which cannot only be solved by such care. Resources are limited, and triaging is challenging. A novel method which approaches patients early and individually upon referral to a CMHC-possibly with a brief intervention-is an Early assessment Team (EaT). In an EaT, two therapists meet the patient early in the process and seek to solve the present problem, often involving community services, primary health care, etc.; attention is paid to symptoms and functional strife, rather than diagnoses. This is in contrast to treatment as usual (TAU), where the patient (after being on a waiting list) meets one therapist, who focuses on history and situation to assign a diagnosis and eventually start a longitudinal treatment. The aim of this study is to describe and compare EaT and TAU regarding such outcomes as work and social adjustment, mental health, quality of life, use of health services, and patient satisfaction. The primary outcome is a change in perceived function from baseline to 12-month follow-up, measured by the Work and Social Adjustment Scale.MethodPatients (18 years and above; n = 588) referred to outpatient health care at a CMHC are randomised to EaT or TAU. Measures (patient self-reports and clinician reports, patients' records, and register data) are collected at baseline, after the first and last meeting, and at 2, 4, 8, 12, and 24 months after inclusion. Some participants will be invited to participate in qualitative interviews.Trial designThe study is a single-centre, non-blinded, RCT with two conditions involving a longitudinal and mixed design (quantitative and qualitative data).DiscussionThis study will examine an intervention designed to determine early on which patients will benefit from parallel or other measures than assessment and treatment in CMHC and whether these will facilitate their recovery. Findings may potentially contribute to the development of the organisation of mental health services.Trial registrationClinicalTrials.gov NCT05087446. Registered on 21 October 2021.

引用

页数：14

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