Trial document





This trial has been registered retrospectively.
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  DRKS00004666

Trial Description

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Title

Evaluation of a new person-centred integrated care model

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Trial Acronym

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URL of the Trial

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Brief Summary in Lay Language

One single multidisciplinary team offer treatment in a spectrum of different care settings (inpatient, acute day hospital, outpatient). Patients can change setting and keep their therapeutic relationship. Both groups (new care model and standard inpatient treatment) provide evidence based diagnostic and therapeutic interventions. For the evaluation we ask about: experienced symptoms, symptoms severity, satisfaction and therapeutic relationship. Participiats have to fulfil following criteria: a psychiatric diagnosis, age between 18-65, admission to a psychiatric hospital.

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Brief Summary in Scientific Language

The present study evaluated a new integrated treatment concept offering inpatient, day care and outpatient treatment by the same therapeutic team. In a randomised controlled trial the effectiveness of the ‘Zurich model of integrated care’ is compared to treatment as usual (standard inpatient treatment). Data on psychopathology, global and social functioning, patient satisfaction, continuity of care and administrative data is gathered on admission, throughout the course of treatment, upon discharge and at one-year follow-up. In addition, the physicians in charge rate the therapeutic relationship.

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Organizational Data

  •   DRKS00004666
  •   2013/01/24
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  •   yes
  •   Approved
  •   E-56/2007, Ethik-Kommission (KEK) Gesundheitsdirektion Zürich
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Secondary IDs

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Health Condition or Problem studied

  •   F20-F29 -  Schizophrenia, schizotypal and delusional disorders
  •   F30-F39 -  Mood [affective] disorders
  •   F40-F48 -  Neurotic, stress-related and somatoform disorders
  •   F60-F69 -  Disorders of adult personality and behaviour
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Interventions/Observational Groups

  •   Zurich model (ZM) of integrated care
    Patients in the ZM remain under the care of the same multidisciplinary team independent of their care setting, ensuring continuity of care
  •   treatment as usual (standard inpatient treatment)
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Characteristics

  •   Interventional
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  •   Randomized controlled trial
  •   Open (masking not used)
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  •   Active control
  •   Health care system
  •   Parallel
  •   N/A
  •   N/A
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Primary Outcome

duration of inpatient stay

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Secondary Outcome

- number of re-admissions
- psychopathology measured at discharge (AMDP, HoNOS)
- satisfaction measured at discharge (CSQ)

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Countries of Recruitment

  •   Switzerland
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Locations of Recruitment

  • Medical Center 
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Recruitment

  •   Actual
  •   2008/01/07
  •   180
  •   Monocenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   65   Years
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Additional Inclusion Criteria

any psychiatric diagnosis according ICD-10

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Exclusion Criteria

- mental and behavioural disorders due to psychoactive substance use
- organic mental disorders
- pregnancy
- incapacity to consent

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Addresses

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    • PUK Zürich
    • Mr.  Prof  Wulf  Rössler 
    • Lenggstrasse 31
    • 8032  Zürich
    • Switzerland
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    • PUK Zürich
    • Ms.  Dr. med  A.  Theodoridou 
    • Lenggstrasse 31
    • 8032  Zürich
    • Switzerland
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Sources of Monetary or Material Support

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    • PUK Zürich
    • Lenggstrasse 31
    • 8032  Zürich
    • Switzerland
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    • Universität Zürich Spender vertreten durch Dr. Martin Forster
    • Künstlergasse 17
    • 8001  Zürich
    • Switzerland
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Status

  •   Recruiting complete, follow-up complete
  •   2009/08/12
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Trial Publications, Results and other Documents

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