NCT03323853

Computerized Assessment and Referral System Screener for Mental Health Evaluations in the Emergency Setting

The Utility of the Computerized Assessment and Referral System (CARS) Screener for Mental Health Evaluations in the Emergency Setting

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 451 (actual)
• Sponsor: University of Arkansas · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

This is a hybrid effectiveness-implementation randomized controlled trial which will be conducted at the emergency department (ED) at the University of Arkansas for Medical Sciences (UAMS) in Little Rock, Arkansas. The hypothesis of this study is that use of the CARS (a computerized mental health screener) will modify emergency department treatment of patients with previously undiagnosed mental illness.

Detailed description

This pragmatic mixed methods clinical trial will compare the intervention of providing a CARS screener report to emergency providers to not providing the report. It will also collect qualitative data regarding implementation of the CARS screener and report. Consecutive patients presenting when a research associate is available will be approached to participate. Patients will be approached after evaluation by an emergency physician. The Computerized Assessment and Referral System (CARS) is based on the Composite International Diagnostic Interview (CIDI), a validated instrument for assessing mental health diagnoses.CARS was piloted at 6 different sites in 2016, all in DUI populations. As CARS has not been specifically validated on non-DUI populations, investigators will collect alcohol history (see below). The CARS self-assessment version (CARS-SA) will be utilized in this study.

Conditions

• Mental Health

Interventions

Type	Name	Description
BEHAVIORAL	Computerized Assessment and Referral System (CARS) Self-Assessment Screener	Subjects will take the CARS-SA Screener.
BEHAVIORAL	CARS-SA Summary Results	Subjects will be evaluated by emergency care providers using the CARS-SA Summary Results Report.

Timeline

• Start date: 2017-12-30
• Primary completion: 2019-12-21
• Completion: 2019-12-21
• First posted: 2017-10-27
• Last updated: 2021-06-24
• Results posted: 2021-06-24

Locations

1 site across 1 country: United States