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Peer Support for Agitation in the Emergency Department

This study is testing a new approach called Peer-Support Enhanced Agitation Code Team (PACT) to improve how agitation (extreme restlessness or excitement) and behavioral disorders are managed in the Emergency Department (ED). PACT adds peer support workers to the existing Agitation Code Team to help staff, improve safety for patients with mental illness or substance use disorders, and reduce unfair treatment in decisions about using restraints. The study aims to see if PACT is acceptable, used correctly, and practical. Success will be measured by how often restraints are used within one day. You may be able to join if you are 18 or older, speak English, arrive at one of the Yale-New Haven Health emergency departments, and have a behavioral-related chief complaint. The current recruitment status is unclear.

Study design
This is an interventional study, meaning participants will receive a specific intervention. It plans to enroll a large number of participants, 57,870.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The primary outcome, rate of restraint use, is measured up to one day after the intervention.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06556069

Clinical Trial of Peer Support in the ED (PCORI)

Not Yet Recruiting
NAAges 18+InterventionalHealth services
Yale University
~57,870 participants
Updated 2026-05-18 on ClinicalTrials.gov
What's tested:Peer-Support Enhanced Agitation Code Team (PACT)

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Rate of Restraint Use
Measured over Up to 1 day

Conditions

Psychomotor Agitation
Behavioral Disorder

Explore related trials

AgitationBehavioral DisorderPsychomotor Agitation

Where it's being run

1 sites across 1 states
Connecticut1

Study leadership

  • Ambrose Wong, MD, MSEd, MHS · PRINCIPAL_INVESTIGATOR · Yale University

Who to contact

Ambrose Wong, MD, MSEd, MHS
[email protected]
(203) 737-2489
Email the study team

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Eligibility criteria

Inclusion

18 years of age or older
English-speaking
Arrives to one of the Yale-New Haven Health emergency departments (Yale-New Haven \[York Street \& St. Raphael's\], Greenwich, Bridgeport, Lawrence \& Memorial, and Westerly campuses)
Presents with a behavioral-related chief complaint (inclusive of neurocognitive, substance use/intoxication, mental health and other behavioral related presentations) as well as additional individuals at risk of developing agitation defined via a score of \>2 on the Brøset Violence Checklist

Exclusion

Pregnant women, minors (\<18 years old), prisoners, and institutionalized individuals

What this trial measures

  • Rate of Restraint UseUp to 1 day

    Our primary outcome will be rates of Restraint Use, which will be the percent of patients with a behavioral health chief complaint or at risk for agitation who receive either a physical restraint or chemical restraint (defined as intramuscular administration of a sedative) order during an ED visit, measured as a rate per 1,000 ED visits.