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Trial Outcomes & Findings for Engaging Patients With Mental Disorders From the ED in Outpatient Care (NCT NCT02989805)

NCT ID: NCT02989805

Last Updated: 2020-03-16

Results Overview

This outcome was operationally measured as at least one outpatient visit for a mental health problem in the 30 days after discharge from the emergency department. Data were obtained from the South Carolina Office of Revenue and Fiscal Affairs (RFA). The RFA data warehouse pulls client-specific data from an array of health and human services facilities, agencies and organizations and makes possible the integration of data from disparate sources at the client level by means of an internally assigned unique tracking number.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

326 participants

Primary outcome timeframe

30 days after discharge

Results posted on

2020-03-16

Participant Flow

Participant enrollment began in April 2017 and all follow-up visits were complete by December 31, 2019. Participants were enrolled from the patient population at 8 emergency departments in South Carolina.

Participant milestones

Participant milestones
Measure
Professional Care Manager
Participants meeting with a nurse or social worker to provide care management
Peer Specialist Care Manager
Participants meeting with a peer specialist to provide care management
Overall Study
STARTED
160
166
Overall Study
COMPLETED
154
162
Overall Study
NOT COMPLETED
6
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Professional Care Manager
Participants meeting with a nurse or social worker to provide care management
Peer Specialist Care Manager
Participants meeting with a peer specialist to provide care management
Overall Study
invalid consent
6
4

Baseline Characteristics

Engaging Patients With Mental Disorders From the ED in Outpatient Care

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Professional Care Manager
n=154 Participants
Participants meeting with a nurse or social worker to provide care management
Peer Specialist Care Manager
n=162 Participants
Participants meeting with a peer specialist to provide care management
Total
n=316 Participants
Total of all reporting groups
Age, Continuous
36.2 years
STANDARD_DEVIATION 12.6 • n=5 Participants
33.9 years
STANDARD_DEVIATION 10.2 • n=7 Participants
35.0 years
STANDARD_DEVIATION 11.5 • n=5 Participants
Sex: Female, Male
Female
85 Participants
n=5 Participants
85 Participants
n=7 Participants
170 Participants
n=5 Participants
Sex: Female, Male
Male
69 Participants
n=5 Participants
77 Participants
n=7 Participants
146 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=5 Participants
11 Participants
n=7 Participants
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
146 Participants
n=5 Participants
151 Participants
n=7 Participants
297 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
67 Participants
n=5 Participants
60 Participants
n=7 Participants
127 Participants
n=5 Participants
Race (NIH/OMB)
White
78 Participants
n=5 Participants
88 Participants
n=7 Participants
166 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
6 Participants
n=5 Participants
10 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Region of Enrollment
United States
154 Participants
n=5 Participants
162 Participants
n=7 Participants
316 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 days after discharge

Population: Participants completing the study are included in this analysis.

This outcome was operationally measured as at least one outpatient visit for a mental health problem in the 30 days after discharge from the emergency department. Data were obtained from the South Carolina Office of Revenue and Fiscal Affairs (RFA). The RFA data warehouse pulls client-specific data from an array of health and human services facilities, agencies and organizations and makes possible the integration of data from disparate sources at the client level by means of an internally assigned unique tracking number.

Outcome measures

Outcome measures
Measure
Professional Care Manager
n=154 Participants
Participants meeting with a nurse or social worker to provide care management
Peer Specialist Care Manager
n=162 Participants
Participants meeting with a peer specialist to provide care management
Number of Participants Attending at Least One Outpatient Visit
85 Participants
70 Participants

SECONDARY outcome

Timeframe: 6 months after discharge

Population: This analysis includes participants who had at least one visit scheduled.

Outpatient engagement will be assessed by the percentage of outpatient visits attended.

Outcome measures

Outcome measures
Measure
Professional Care Manager
n=94 Participants
Participants meeting with a nurse or social worker to provide care management
Peer Specialist Care Manager
n=92 Participants
Participants meeting with a peer specialist to provide care management
Percentage of Outpatient Visits Attended
66.9 percentage of visits attended
Standard Deviation 24.9
66.2 percentage of visits attended
Standard Deviation 27.9

SECONDARY outcome

Timeframe: 6 months after discharge

Population: This analysis includes participants for whom the 6-month follow-up data were available.

The number of emergency room readmissions, for mental health/substance use and all-cause emergency room visits, is presented here.

Outcome measures

Outcome measures
Measure
Professional Care Manager
n=131 Participants
Participants meeting with a nurse or social worker to provide care management
Peer Specialist Care Manager
n=134 Participants
Participants meeting with a peer specialist to provide care management
Number of Participants Being Readmitted to the Emergency Room
77 Participants
77 Participants

SECONDARY outcome

Timeframe: 6 months after discharge

Population: This analysis includes participants for whom the 6-month follow-up data were available.

The number of inpatient hospitalizations, for mental health problems as well as all cause patient admissions, is presented here.

Outcome measures

Outcome measures
Measure
Professional Care Manager
n=131 Participants
Participants meeting with a nurse or social worker to provide care management
Peer Specialist Care Manager
n=134 Participants
Participants meeting with a peer specialist to provide care management
Number of Participants Being Admitted for Inpatient Hospitalization
28 Participants
35 Participants

Adverse Events

Professional Care Manager

Serious events: 0 serious events
Other events: 0 other events
Deaths: 3 deaths

Peer Specialist Care Manager

Serious events: 0 serious events
Other events: 0 other events
Deaths: 2 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Benjamin Druss, MD, MPH

Emory University

Phone: 404-712-9602

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place