Evidence map›Paper›PMID 38389089›Full record

ArticleTrials2024

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.

Thilipan Thaventhiran, Ben Hoi-Ching Wong, Izabela Pilecka, Saba Masood, Opeyemi Atanda, Joe Clacey, Jovanka Tolmac, Leon Wehncke, Liana Romaniuk, Margaret Heslin and 12 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.9field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 12 institutions in 1 country.

Thilipan ThaventhiranQueen Mary University of London, London, UK. thilipan.thaventhiran@kcl.ac.uk.ORCID http://orcid.org/0000-0003-4827-9795
Ben Hoi-Ching WongEast London NHS Foundation Trust, London, UK.
Izabela PileckaKing's College London, London, UK.
Saba MasoodQueen Mary University of London, London, UK.
Opeyemi AtandaLondon South Bank University, London, UK.
Joe ClaceyOxford Health NHS Foundation Trust, Oxford, UK.
Jovanka TolmacCentral and North-West London NHS Foundation Trust, London, UK.
Leon WehnckeNorth-East London NHS Foundation Trust, London, UK.
Liana RomaniukNHS Lothian, Edinburgh, UK.
Margaret HeslinKing's College London, London, UK.
Emma TassieKing's College London, London, UK.
Petrina ChuKing's College London, London, UK.
Rhys Bevan-JonesCwm Taf Morgannwg University Health Board, Wales, UK.
Ruth WoolhouseEast London NHS Foundation Trust, London, UK.
Tauseef MahdiBerkshire Healthcare NHS Foundation Trust, Bracknell, UK.
Veronika Beatrice DoblerCambridgeshire and Peterborough Foundation Trust, Cambridge, UK.
Mandy WaitSouth London and Maudsley NHS Foundation Trust, Beckenham, UK.
Paula ReaveyLondon South Bank University, London, UK.
Sabine LandauKing's College London, London, UK.
Sarah ByfordKing's College London, London, UK.
Toby ZundelSouth London and Maudsley NHS Foundation Trust, Beckenham, UK.
Dennis OugrinQueen Mary University of London, London, UK.
King's College London · GBQueen Mary University of London · GBEast London NHS Foundation Trust · GBLondon South Bank University · GBSouth London and Maudsley NHS Foundation Trust · GBBerkshire Healthcare NHS Foundation Trust · GBCambridgeshire and Peterborough NHS Foundation Trust · GBCentral and North West London NHS Foundation Trust · GBCwm Taf University Health Board · GBNHS Lothian · GBNorth East London NHS Foundation Trust · GBOxford Health NHS Foundation Trust · GB

Funding

HCRW_ NIHR-FS-PD-2018
6 · The paper itself

Abstract

backgroundOver 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.

methodsThis 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 registrationISRCTN ISRCTN42999542, Registration on April 29, 2020.

Indexed as

EmergenciesMental HealthAdolescentChildCost-Benefit AnalysisHumansMulticenter Studies as TopicPatient SatisfactionRandomized Controlled Trials as TopicTreatment OutcomeUnited KingdomChildrenCommunity careInpatient careIntensive community care servicesMental healthYoung people

Identifiers

PMID38389089
PMCPMC10885519
OpenAlexW4392058661

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.