Evaluation of intensive community care services for young people with psychiatric emergencies: study protocol for a multi-centre parallel-group, single-blinded randomized controlled trial with an internal pilot phase

Thaventhiran, Thilipan, Wong, Ben Hoi-Ching, Pilecka, Izabela, Masood, Saba, Atanda, Opeyemi, Clacey, Joe, Tolmac, Jovanka, Wehncke, Leon, Romaniuk, Liana, Heslin, Margaret, Tassie, Emma, Chu, Petrina, Bevan-Jones, Rhys ORCID: https://orcid.org/0000-0001-8976-9825, Woolhouse, Ruth, Mahdi, Tauseef, Dobler, Veronika Beatrice, Wait, Mandy, Reavey, Paula, Landau, Sabine, Byford, Sarah, Zundel, Toby and Ougrin, Dennis 2024. Evaluation of intensive community care services for young people with psychiatric emergencies: study protocol for a multi-centre parallel-group, single-blinded randomized controlled trial with an internal pilot phase. Trials 25 (1) , 141. 10.1186/s13063-024-07974-5

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Abstract

Background: Over 3000 young people under the age of 18 are admitted to Tier 4 Child and Adolescent Mental Health Services (CAMHS) inpatient units across the UK each year. The average length of hospital stay for young people across all psychiatric units in the UK is 120 days. Research is needed to identify the most effective and efficient ways to care for young people (YP) with psychiatric emergencies. This study aims to evaluate the clinical effectiveness and cost-effectiveness of intensive community care service (ICCS) compared to treatment as usual (TAU) for young people with psychiatric emergencies. Methods: This is a multicentre two-arm randomized controlled trial (RCT) with an internal pilot phase. Young people aged 12 to < 18 considered for admission at participating NHS organizations across the UK will be randomized 1:1 to either TAU or ICCS. The primary outcome is the time to return to or start education, employment, or training (EET) at 6 months post-randomization. Secondary outcomes will include evaluations of mental health and overall well-being and patient satisfaction. Service use and costs and cost-effectiveness will also be explored. Intention-to-treat analysis will be adopted. The trial is expected to be completed within 42 months, with an internal pilot phase in the first 12 months to assess the recruitment feasibility. A process evaluation using visual semi-structured interviews will be conducted with 42 young people and 42 healthcare workers. Discussion: This trial is the first well-powered randomized controlled trial evaluating the clinical and cost-effectiveness of ICCS compared to TAU for young people with psychiatric emergencies in Great Britain. Trial registration: ISRCTN ISRCTN42999542, Registration on April 29, 2020

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Medicine
Additional Information:	License information from Publisher: LICENSE 1: URL: http://creativecommons.org/licenses/by/4.0/, Type: open-access
Publisher:	BioMed Central
ISSN:	1745-6215
Date of First Compliant Deposit:	23 February 2024
Date of Acceptance:	6 February 2024
Last Modified:	23 Feb 2024 12:45
URI:	https://orca.cardiff.ac.uk/id/eprint/166515

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