N/A
N=326
Engaging Patients With Mental Disorders From the ED in Outpatient Care
Mental Disorder
Bottom Line
View on ClinicalTrials.gov: NCT02989805 ↗Enrolled (actual)
326
Serious AEs
—
Results posted
Mar 2020
Primary outcome: Primary: Number of Participants Attending at Least One Outpatient Visit — 85; 70 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Care Management (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Emory University
- Primary completion
- Dec 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Attending at Least One Outpatient Visit |
85; 70 | — |
| SECONDARY Percentage of Outpatient Visits Attended |
66.9; 66.2 | — |
| SECONDARY Number of Participants Being Readmitted to the Emergency Room |
77; 77 | — |
| SECONDARY Number of Participants Being Admitted for Inpatient Hospitalization |
28; 35 | — |
Summary
This study will compare the effectiveness of professional and peer care managers in improving linkage to and engagement in outpatient care after an emergency department (ED) discharge, as well as the mechanisms by which engagement occurs. The study will use a multi-site randomized trial study design across 8 EDs in South Carolina with telepsychiatry programs; each site will have one professional care manager (social worker or nurse) and one peer specialist care manager. Eligible subjects at each site will be randomized to a one-year treatment engagement intervention, the Coordination, Access, Referral and Evaluation (CARE) Program with either a peer or professional care manager, resulting in a total of 290 participants across sites. The CARE program will focus on shared decision-making between care managers and patients, and combines the traditional medical model of care management with a recovery-based approach.
Eligibility Criteria
Inclusion Criteria
- Admission to the emergency department for a primary diagnosis of a mental disorder
- Plan for discharge to a participating community mental health center (CMHC)
- Lives within the CMHC catchment area
Exclusion Criteria
- Cognitive impairment
- Not able to speak English
- Admission to the hospital from the emergency department
Data sourced from ClinicalTrials.gov (NCT02989805). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.