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Trial registered on ANZCTR


Registration number
ACTRN12620000933954
Ethics application status
Approved
Date submitted
23/07/2020
Date registered
18/09/2020
Date last updated
18/09/2020
Date data sharing statement initially provided
18/09/2020
Type of registration
Retrospectively registered

Titles & IDs
Public title
Evaluation of a Wellington District Co-Response Team
Scientific title
Evaluation of a Mental Health Co-Response Team implementation: Police, ambulance and mental health services co-attending mental health 111 calls
Secondary ID [1] 301836 0
None
Universal Trial Number (UTN)
U1111-1255-7906
Trial acronym
CRT
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Mental health crisis 318319 0
Condition category
Condition code
Mental Health 316328 316328 0 0
Anxiety
Mental Health 316329 316329 0 0
Depression
Mental Health 316330 316330 0 0
Other mental health disorders
Mental Health 316331 316331 0 0
Schizophrenia
Mental Health 316332 316332 0 0
Suicide
Public Health 316682 316682 0 0
Health service research

Intervention/exposure
Study type
Observational
Patient registry
False
Target follow-up duration
Target follow-up type
Description of intervention(s) / exposure
The exposure is the utilisation of a CRT service. Since March 2020, the CRT, consisting of a police officer, paramedic and a mental health professional, have been jointly deployed to provide a wrap-around service for mental health 111 calls. The team provides timely ‘on scene’ support to people in mental distress. Objectives of the CRT include enhanced care for people suffering mental distress in the community and a reduced flow into mental health services and emergency departments. We are recruiting approximately 20 people who have been exposed to the CRT ( direct users and their family members) and we will conduct qualitative interviews exploring their experiences. The interviews will be face-to-face (or via zoom or by telephone) and last for about 30 minutes. The CRT service users will be contacted within approximately 2 weeks of their CRT use to invite them to participate in the study.
Intervention code [1] 318132 0
Not applicable
Comparator / control treatment
No control group
Control group
Uncontrolled

Outcomes
Primary outcome [1] 324498 0
The composite primary outcome is to explore the views/experiences of people (both CRT users and their family members/whanau) who received input from the CRT. We are interested in how easy it was to access the CRT, what interventions they received and what the outcomes were following the CRT input. We will also inquire about positive and negative aspects that the CRT user/family member experienced and their suggestions for improvement. The views of the CRT users and family members/whanau will be assessed by conducting one-on-one 30-minute semi-structured audio-recorded interviews.
Timepoint [1] 324498 0
CRT users and family/whanau will be contacted within approximately 2 weeks of their contact with the CRT. The interview needs to occur within 6 months of the CRT contact.
Secondary outcome [1] 384813 0
Nil
Timepoint [1] 384813 0
Nil

Eligibility
Key inclusion criteria
CRT users and family members/whanau who are:
- 18 years or more of age
- Have had face-to-face contact with the CRT within the last 6 months
- Are able to give informed consent.
Minimum age
18 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
CRT users and family/whanau who:
- Are under the age of 18 years
- Have had contact with the CRT but not face to face.
- Had CRT contact more than 6 months prior to the recruitment period


Study design
Purpose
Psychosocial
Duration
Longitudinal
Selection
Defined population
Timing
Both
Statistical methods / analysis
As part of this evaluation, we are aiming to interview 20 CRT users/family members. The interviews will be transcribed verbatim by the researcher (SK). Thematic analysis will be conducted in accordance with Braun and Clarke’s (2006) approach. We will independently read and code interview transcripts; codes will be examined and iteratively consented into groups capturing similar themes, each with a number of sub themes. These themes and sub themes will be considered by the wider team to validate the plausibility of the themes. To achieve saturation of themes, we will move back and forth between data collection and analysis, ensuring the fit between data and the conceptual work of analysis and interpretation. Interviews competed early in the study will inform subsequent data collection. We will use NVivo Software to assist with data organisation and analysis.


Recruitment
Recruitment status
Recruiting
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment outside Australia
Country [1] 22784 0
New Zealand
State/province [1] 22784 0
Wellington

Funding & Sponsors
Funding source category [1] 306261 0
Government body
Name [1] 306261 0
New Zealand Police
Address [1] 306261 0
180 Molesworth Street
Wellington
PO Box 3017
Country [1] 306261 0
New Zealand
Primary sponsor type
University
Name
University of Otago Wellington
Address
23 Mein Street
Newtown
Wellington 6242
Country
New Zealand
Secondary sponsor category [1] 306749 0
Other
Name [1] 306749 0
Evidence Based Policing Centre
Address [1] 306749 0
160 Lambton Quay
Wellington 6011
Country [1] 306749 0
New Zealand

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 306469 0
Northern B Health and Disability Ethics Committee
Ethics committee address [1] 306469 0
Ministry of Health
Health and Disability Ethics Committees
PO Box 5013
Wellington 6140
Ethics committee country [1] 306469 0
New Zealand
Date submitted for ethics approval [1] 306469 0
03/07/2020
Approval date [1] 306469 0
16/07/2020
Ethics approval number [1] 306469 0
20/NTB/150

Summary
Brief summary
Police and ambulance services are increasingly the first responders to people in mental distress as mental-health related calls to 111 increase and mental health services struggle to meet the significant increases in demand. Apart from the demands this places on limited police resources, the lack of timely mental health expertise during a crisis negatively affects service users.

The objective of this study is to evaluate the implementation of an innovative mental health co-response team (CRT) that is being piloted in the Wellington region. Inspired by successful initiatives in Australia and the United Kingdom, the pilot involves staff from mental health services, Wellington Free Ambulance and the Wellington District Police being jointly deployed to respond to 111 calls made by or about someone requiring help in a mental health crisis. From March 2020 the CRT pilot has been providing front-line, first-response capability for the provision of in-situ mental health assessments and therapeutic care in a home or community setting rather than the person being transported to an emergency department (ED) or police station for mental health triaging.

As part of the evaluation, we are conducting qualitative research (face-to-face semi-structured interviews) with CRT service users and family/whanau about their views and experiences of the CRT. Our evaluation study will help service planners understand the benefits and gaps of CRT, including from the service user's perspective.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 103998 0
Dr Susanna Every-Palmer
Address 103998 0
Head of Department of Psychological Medicine
University of Otago Wellington
23 Mein Street
Newtown
Wellington 6242

Country 103998 0
New Zealand
Phone 103998 0
+64 4 918 6584
Fax 103998 0
+64 4 389 5725
Email 103998 0
susanna.every-palmer@ccdhb.org.nz
Contact person for public queries
Name 103999 0
Dr Silke Kuehl
Address 103999 0
Senior Research Fellow
Department of Psychological Medicine
University of Otago Wellington
23 Mein Street
Newtown
Wellington 6242
Country 103999 0
New Zealand
Phone 103999 0
+64 4 918 6849
Fax 103999 0
+64 4 389 5725
Email 103999 0
silke.kuehl@otago.ac.nz
Contact person for scientific queries
Name 104000 0
Dr Susanna Every-Palmer
Address 104000 0
Head of Department of Psychological Medicine
University of Otago Wellington
23 Mein Street
Newtown
Wellington 6242

Country 104000 0
New Zealand
Phone 104000 0
+64 4 918 6584
Fax 104000 0
+64 4 389 5725
Email 104000 0
susanna.every-palmer@ccdhb.org.nz

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
What data in particular will be shared?
On a case by case only. Service experience, aggregated.
When will data be available (start and end dates)?
No dates available as data only available on a case by case basis.
Available to whom?
On a case by case basis, e. g. researchers.
Available for what types of analyses?
On a case by case basis, such as evaluation of crisis mental health services
How or where can data be obtained?
By emailing the principal investigator Dr Susanna Every- Palmer at the Department of Psychological Medicine, University of Otago Wellington, Susanna.Every-Palmer@otago.ac.nz
What supporting documents are/will be available?
Informed consent form
Ethical approval
How or where can supporting documents be obtained?
Type [1] 8570 0
Ethical approval
Citation [1] 8570 0
Link [1] 8570 0
Email [1] 8570 0
Other [1] 8570 0
Type [2] 8571 0
Informed consent form
Citation [2] 8571 0
For CRT user and family/whanau
Link [2] 8571 0
Email [2] 8571 0
Other [2] 8571 0
Summary results
No Results