CHARACTERISTICS AND OUTCOMES OF INDIVIDUALS WHO ENGAGE IN UFITT AFTERCARE FOLLOWING A MENTAL HEALTH CRISIS PRESENTATION
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Date
2023-05-15
Authors
Ward, Julie
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Abstract
Introduction: The Urgent Follow-up Integrated Treatment Team (UFITT) program is the primary
mental health follow-up program for individuals attending the Crisis Response Centre (CRC) and
Health Sciences Centre emergency department. Although approximately 130 individuals are
referred to the UFITT program each month, there is a high rate of no-shows. No research has
been done on these individuals referred to UFITT regarding their demographics, characteristics,
or what happens after their referral. This study aimed to better understand if there are common
clinical and demographic characteristics that can be identified within the individuals that attend
aftercare following their UFITT referral, compared to those that do not. Furthermore, it was
hypothesized that individuals who do not engage in any part of the UFITT program represent
with a mental health crisis faster and more often compared to those who do attend follow-up care
through the program.
Methods: The study period was from August 1 to November 30, 2022 and included all
individuals who presented to either the Crisis Response Centre, emergency department, urgent
care, or Crisis Stabilization Unit between August 1 and September 30, 2022 with a mental health
crisis who were referred to and accepted by UFITT. These individuals were then divided into
two cohorts, those that attended at least one visit to the UFITT program: “UFITT engagement”,
and those that did not: “No UFITT engagement”. Using the CRC electronic health record
program (Momentum), descriptive statistics were used to compare the two groups on clinical and
sociodemographic characteristics at time of referral. Descriptive statistics were also used to
compare the groups on the outcome of health service use within their 60-day follow-up period.
Results: Of the 122 individuals, 73 (59.8%) did not engage in any UFITT services, while 49
(40.2%) of the remaining individuals engaged in one or more services offered by the UFITT
program. The group that did not engage in UFITT follow-up were younger, more often
unhoused, and had higher rates of personality disorders, previous hospitalizations, and almost
half misused substances. Suicidal behavior did not distinguish the two groups. Twelve (16.4%)
patients that had no UFITT engagement and 11 (22.4%) patients that engaged with UFITT
services represented within 60 days of their initial presentation. There were more individuals
who represented in the first 20 days in the No UFITT engagement group compared to the UFITT
engaging group.
Discussion: The first hypothesis is partially supported by the dissimilarities observed between
cohorts as those in No UFITT were younger, had more previous hospitalizations, and higher rate
of substance misuse. The results do not support the hypothesis that individuals who do not
engage in UFITT aftercare return to the CRC more often. Although results provide support for
the hypothesis that those not engaging with UFITT aftercare represent sooner, it is unknown if
this is statistically significant. The No UFITT cohort was additionally observed to have
marginally worse health outcomes. More research is needed to determine the significance of
these dissimilarities.