Collaborative Care for Post Intensive Care Syndrome

(BeColM Trial)

This trial aims to assist individuals who have survived an ICU (Intensive Care Unit) stay and are at risk for mental health issues such as anxiety, depression, and PTSD. Researchers seek to determine if a special care model, the Behavioral Health Collaborative Care Model, which includes digital tools, coaching, and psychiatric support, outperforms the usual care. The trial is being conducted at the Medical University of South Carolina with 150 participants. Individuals who have visited the ICU Recovery Clinic within six months of hospital discharge and have internet access may be suitable candidates for this study. As an unphased trial, it offers a unique opportunity to contribute to innovative care solutions for ICU survivors.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research has shown that the Behavioral Health Collaborative Care Model (BH CoCM) is generally well-received. In past studies, families of ICU patients found this approach practical and helpful, meaning both patients and their families managed it well and found it beneficial.

The BH CoCM employs tools like digital apps, mental health coaching, and psychiatric support, designed to aid mental health without causing major side effects. While specific reports of negative effects from this model are absent, its components are widely used and considered safe.

Researchers are excited about the Behavioral Health Collaborative Care Model for Post Intensive Care Syndrome because it offers a more integrated approach compared to traditional treatments. Typically, post-intensive care patients receive separate physical and mental health treatments, but this model combines them, coordinating care across different specialists. This holistic approach aims to improve mental health outcomes by ensuring that behavioral health is not treated in isolation but as part of overall recovery. By focusing on collaboration among healthcare providers, the model hopes to streamline treatment, potentially leading to faster and more comprehensive recovery for patients.

Studies have shown that the Behavioral Health Collaborative Care Model (BH CoCM) can assist with mental health issues in patients recovering from serious illness. Research indicates that online health tools, like those in BH CoCM, improve conditions such as anxiety, depression, and PTSD, which often follow intensive care. One review highlighted the benefits of online health interventions in treating Post Intensive Care Syndrome (PICS), which includes these mental health challenges. In this trial, participants in the interventional arm will receive the BH CoCM, which provides structured support by combining digital tools with professional mental health coaching and psychiatric care. Patients in similar care models have reported better mental health outcomes, supporting the promise of this approach.¹⁶⁷⁸⁹