Engaging Patients With Mental Disorders From the ED in Outpatient Care

Completed · Not applicable

Conditions studied: Mental Disorder

In brief

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.

Key facts

Study ID

NCT02989805

Run by

Emory University

People needed

326

Starts

2017-04-03

Expected to finish

2019-12-31

Last updated by the study team

2020-03-16

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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

You may not qualify if…

• Cognitive impairment
• Not able to speak English
• Admission to the hospital from the emergency department

Where it is running

• University of South Carolina — Columbia, South Carolina, United States

Full record on ClinicalTrials.gov

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