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
Abstract Background Referrals 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 m...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | Trials |
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| Online Access: | https://doi.org/10.1186/s13063-024-08028-6 |
| _version_ | 1797258989948370944 |
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| author | Camilla Angelsen Kvestad Ingvild Rønneberg Holte Solveig Klæbo Reitan Charlotte S. Chiappa Gunn Karin Helle Anne E. Skjervold Anne Marit A. Rosenlund Øyvind Watne Heidi Brattland Jon Helle Turid Follestad Karen Walseth Hara Katrine Høyer Holgersen |
| author_facet | Camilla Angelsen Kvestad Ingvild Rønneberg Holte Solveig Klæbo Reitan Charlotte S. Chiappa Gunn Karin Helle Anne E. Skjervold Anne Marit A. Rosenlund Øyvind Watne Heidi Brattland Jon Helle Turid Follestad Karen Walseth Hara Katrine Høyer Holgersen |
| author_sort | Camilla Angelsen Kvestad |
| collection | DOAJ |
| description | Abstract Background Referrals 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. Method Patients (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 design The study is a single-centre, non-blinded, RCT with two conditions involving a longitudinal and mixed design (quantitative and qualitative data). Discussion This 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 registration ClinicalTrials.gov NCT05087446. Registered on 21 October 2021. |
| first_indexed | 2024-04-24T23:02:18Z |
| format | Article |
| id | doaj.art-1f7ac803818b4b1b92dcc85f56ac0411 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-04-24T23:02:18Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-1f7ac803818b4b1b92dcc85f56ac04112024-03-17T12:37:22ZengBMCTrials1745-62152024-03-0125111410.1186/s13063-024-08028-6Measuring the Effect of the Early assessment Team (MEET) for patients referred to outpatient mental health care: a study protocol for a randomised controlled trialCamilla Angelsen Kvestad0Ingvild Rønneberg Holte1Solveig Klæbo Reitan2Charlotte S. Chiappa3Gunn Karin Helle4Anne E. Skjervold5Anne Marit A. Rosenlund6Øyvind Watne7Heidi Brattland8Jon Helle9Turid Follestad10Karen Walseth Hara11Katrine Høyer Holgersen12Nidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalNidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalNidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalNidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalNidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalNidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalNidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalNidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalNidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalNidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalClinical Research Unit Central Norway, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Public Health and Nursing, Faculty of Medicine and Health SciencesNidelv Community Mental Health Center, Clinic of Mental Health, St. Olav’s Hospital, Trondheim University HospitalAbstract Background Referrals 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. Method Patients (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 design The study is a single-centre, non-blinded, RCT with two conditions involving a longitudinal and mixed design (quantitative and qualitative data). Discussion This 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 registration ClinicalTrials.gov NCT05087446. Registered on 21 October 2021.https://doi.org/10.1186/s13063-024-08028-6Community mental health centreHealth service developmentIntake assessmentGeneral mental health |
| spellingShingle | Camilla Angelsen Kvestad Ingvild Rønneberg Holte Solveig Klæbo Reitan Charlotte S. Chiappa Gunn Karin Helle Anne E. Skjervold Anne Marit A. Rosenlund Øyvind Watne Heidi Brattland Jon Helle Turid Follestad Karen Walseth Hara Katrine Høyer Holgersen 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 Trials Community mental health centre Health service development Intake assessment General mental health |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Community mental health centre Health service development Intake assessment General mental health |
| url | https://doi.org/10.1186/s13063-024-08028-6 |
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