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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
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Scientific title
Evaluation of a Mental Health Co-Response Team implementation: Police, ambulance and mental health services co-attending mental health 111 calls
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Secondary ID [1]
301836
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None
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Universal Trial Number (UTN)
U1111-1255-7906
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Trial acronym
CRT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Mental health crisis
318319
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Condition category
Condition code
Mental Health
316328
316328
0
0
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Anxiety
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Mental Health
316329
316329
0
0
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Depression
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Mental Health
316330
316330
0
0
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Other mental health disorders
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Mental Health
316331
316331
0
0
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Schizophrenia
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Mental Health
316332
316332
0
0
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Suicide
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Public Health
316682
316682
0
0
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Health service research
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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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.
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Intervention code [1]
318132
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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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.
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Assessment method [1]
324498
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Timepoint [1]
324498
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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.
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Secondary outcome [1]
384813
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Nil
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Assessment method [1]
384813
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Timepoint [1]
384813
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Nil
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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.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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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
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Study design
Purpose
Psychosocial
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Duration
Longitudinal
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Selection
Defined population
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Timing
Both
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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.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
14/09/2020
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Date of last participant enrolment
Anticipated
28/02/2021
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Actual
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Date of last data collection
Anticipated
28/02/2021
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Actual
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Sample size
Target
20
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Accrual to date
2
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Final
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Recruitment outside Australia
Country [1]
22784
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New Zealand
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State/province [1]
22784
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Wellington
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Funding & Sponsors
Funding source category [1]
306261
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Government body
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Name [1]
306261
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New Zealand Police
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Address [1]
306261
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180 Molesworth Street
Wellington
PO Box 3017
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Country [1]
306261
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New Zealand
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Primary sponsor type
University
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Name
University of Otago Wellington
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Address
23 Mein Street
Newtown
Wellington 6242
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Country
New Zealand
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Secondary sponsor category [1]
306749
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Other
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Name [1]
306749
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Evidence Based Policing Centre
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Address [1]
306749
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160 Lambton Quay
Wellington 6011
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Country [1]
306749
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
306469
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
306469
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Ministry of Health Health and Disability Ethics Committees PO Box 5013 Wellington 6140
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Ethics committee country [1]
306469
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New Zealand
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Date submitted for ethics approval [1]
306469
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03/07/2020
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Approval date [1]
306469
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16/07/2020
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Ethics approval number [1]
306469
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20/NTB/150
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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.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
103998
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Dr Susanna Every-Palmer
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Address
103998
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Head of Department of Psychological Medicine
University of Otago Wellington
23 Mein Street
Newtown
Wellington 6242
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Country
103998
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New Zealand
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Phone
103998
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+64 4 918 6584
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Fax
103998
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+64 4 389 5725
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Email
103998
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[email protected]
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Contact person for public queries
Name
103999
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Silke Kuehl
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Address
103999
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Senior Research Fellow
Department of Psychological Medicine
University of Otago Wellington
23 Mein Street
Newtown
Wellington 6242
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Country
103999
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New Zealand
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Phone
103999
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+64 4 918 6849
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Fax
103999
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+64 4 389 5725
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Email
103999
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[email protected]
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Contact person for scientific queries
Name
104000
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Susanna Every-Palmer
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Address
104000
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Head of Department of Psychological Medicine
University of Otago Wellington
23 Mein Street
Newtown
Wellington 6242
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Country
104000
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New Zealand
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Phone
104000
0
+64 4 918 6584
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Fax
104000
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+64 4 389 5725
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Email
104000
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
On a case by case only. Service experience, aggregated.
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When will data be available (start and end dates)?
No dates available as data only available on a case by case basis.
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Available to whom?
On a case by case basis, e. g. researchers.
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Available for what types of analyses?
On a case by case basis, such as evaluation of crisis mental health services
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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,
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
8570
Ethical approval
380235-(Uploaded-22-07-2020-13-21-02)-Study-related document.pdf
8571
Informed consent form
For CRT user and family/whanau
380235-(Uploaded-22-07-2020-13-27-50)-Study-related document.doc
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF