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CompletedNCT01622244CATCH-EDUpdated Oct 30, 2014

Coordinated Access to Care From Hospital Emergency Departments

An interventional study of Co-ordinated Access to Care from Hospital Emergency Departments and Coordinated Access to Care from Hospital Emergency Departments in Mental Health, sponsored by Unity Health Toronto. Completed at 2 sites in Canada. Per ClinicalTrials.gov, last updated 2014-10-30.

Sponsored by Unity Health Toronto · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
166
Allocation
Randomized
Sex
All
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Study summary

The study will assess the effectiveness and cost-effectiveness of providing brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems. The goals of the intervention are to support patients' transition to community-based health and social services and supports - including primary and urgent psychiatric care, peer support and other community services and supports - so as to improve patient wellbeing and reduce avoidable ED visits and hospitalizations.

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Conditions studied

  • Mental Health

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03

In context

Emergencies

1,692 studies on the registry are indexed under Emergencies; 333 are open to participants now.

This study's enrollment of 166 is above the median of 145 across 931 interventional studies indexed under Emergencies.

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Lead sponsor

Unity Health Toronto is the lead sponsor of 434 studies on the registry; 76 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • legal adult status (age 18)
  • able to give informed consent
  • have made 5+ visits to participating hospital Emergency Department in the previous 12 months
  • One of these visits will have been for a mental health and/or addiction problem.

Exclusion criteria

Exclusion Criteria:

-

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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
166 participants (actual)

Study arms

  • Experimental
    Intervention arm

    Participants will receive brief, intensive case management to connect them to health and social services and supports in the community

    Other: Co-ordinated Access to Care from Hospital Emergency Departments · Other: Coordinated Access to Care from Hospital Emergency Departments

  • Active comparator
    Counseling and Resource Education (CARE)

    Participants will receive care as usual in the community. In addition, participants in this arm will receive an educational session and resource guide outlining available community-based services

    Behavioral: Counseling and Resource Education

Interventions

  • OtherCo-ordinated Access to Care from Hospital Emergency Departments

    brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems

  • OtherCoordinated Access to Care from Hospital Emergency Departments

    Participants will receive brief, intensive case management to connect them to health and social services and supports in the community

  • BehavioralCounseling and Resource Education

    Participants will receive usual care as well as an educational session and resource guide outlining community-based services

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What researchers measure

Primary outcomes

  1. Frequency of Emergency Department visits

    Time frame: Baseline, 6 and 12 months

Secondary outcomes

  1. Changes in symptom severity

    A scales with good psychometric properties, the Colorado Symptom scale, will be used

    Time frame: Baseline, 6 and 12 months

  2. Days in hospital

    Time frame: baseline, 6 and 12 months

  3. Changes in substance use

    The Addiction Severity index will be used

    Time frame: baseline 6 and 12 months

  4. Changes in health related quality of life

    The SF-12 and EQ-5D will be used

    Time frame: baseline, 6 and 12 months

07

Study locations

2 sites
  • St. Michael's Hospital
    Toronto, Ontario M5B 1W8, Canada
  • St. Michael's Hospital
    Toronto, Ontario M5S 2N9, Canada
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References and documents

Publications

  • Stergiopoulos V, Gozdzik A, Tan de Bibiana J, Guimond T, Hwang SW, Wasylenki DA, Leszcz M. Brief case management versus usual care for frequent users of emergency departments: the Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) randomized controlled trial. BMC Health Serv Res. 2016 Aug 24;16(1):432. doi: 10.1186/s12913-016-1666-1. PubMed 27557705 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 30, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01622244
Lead sponsor
Unity Health Toronto
Collaborators
Ontario Ministry of Health and Long Term Care
Responsible party
Sponsor
First posted
Jun 19, 2012
Start date
Nov 2012
Primary completion
Sep 2013
Completion
Sep 2014
Last update
Oct 30, 2014

Study contacts

Vicky Stergiopoulos, MD, MHSc
principal investigator · Unity Health Toronto

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2012. You cannot join it, but the record below documents what was studied.

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