Trial Outcomes & Findings for Adapting Critical Time Intervention to Support Inpatient Medical Care Transition (NCT NCT03637296)

NCT ID: NCT03637296

Last Updated: 2021-09-28

Results Overview

Rates of hospital inpatient readmission within 7 days following discharge

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

Within 7 days following discharge

Results posted on

2021-09-28

Participant Flow

Participant milestones

Participant milestones
Measure
Critical Time Intervention
Individuals who receive intensive care management during and following discharge from the inpatient medical unit. Critical time intervention: Care management offered by individual with experience working with individuals with serious mental illness. The care managers engage individuals before they are discharged from the hospital and work with them in the community to support linkages with medical and behavioral health care providers. Care managers provide problem-solving, advice, and support to maximize patients' engagement in care.
Treatment as Usual
Individuals who receive routine care management during and following discharge from the inpatient medical unit.
Overall Study
STARTED
10
5
Overall Study
COMPLETED
10
5
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Adapting Critical Time Intervention to Support Inpatient Medical Care Transition

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Critical Time Intervention
n=10 Participants
Individuals who receive intensive care management during and following discharge from the inpatient medical unit. Critical time intervention: Care management offered by individual with experience working with individuals with serious mental illness. The care managers engage individuals before they are discharged from the hospital and work with them in the community to support linkages with medical and behavioral health care providers. Care managers provide problem-solving, advice, and support to maximize patients' engagement in care.
Treatment as Usual
n=5 Participants
Individuals who receive routine care management during and following discharge from the inpatient medical unit.
Total
n=15 Participants
Total of all reporting groups
Age, Continuous
51.3 years
STANDARD_DEVIATION 9.4 • n=5 Participants
45.5 years
STANDARD_DEVIATION 5.8 • n=7 Participants
49.4 years
STANDARD_DEVIATION 8.6 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
1 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
2 Participants
n=7 Participants
9 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
5 participants
n=7 Participants
15 participants
n=5 Participants

PRIMARY outcome

Timeframe: Within 7 days following discharge

Rates of hospital inpatient readmission within 7 days following discharge

Outcome measures

Outcome measures
Measure
Critical Time Intervention
n=10 Participants
Individuals who receive intensive care management during and following discharge from the inpatient medical unit. Critical time intervention: Care management offered by individual with experience working with individuals with serious mental illness. The care managers engage individuals before they are discharged from the hospital and work with them in the community to support linkages with medical and behavioral health care providers. Care managers provide problem-solving, advice, and support to maximize patients' engagement in care.
Treatment as Usual
n=5 Participants
Individuals who receive routine care management during and following discharge from the inpatient medical unit.
7 Days Hospital Inpatient All-cause Readmission Rates
3 Participants
0 Participants

PRIMARY outcome

Timeframe: Within 30 days following discharge

Rates of hospital inpatient readmission within 30 days following discharge

Outcome measures

Outcome measures
Measure
Critical Time Intervention
n=10 Participants
Individuals who receive intensive care management during and following discharge from the inpatient medical unit. Critical time intervention: Care management offered by individual with experience working with individuals with serious mental illness. The care managers engage individuals before they are discharged from the hospital and work with them in the community to support linkages with medical and behavioral health care providers. Care managers provide problem-solving, advice, and support to maximize patients' engagement in care.
Treatment as Usual
n=5 Participants
Individuals who receive routine care management during and following discharge from the inpatient medical unit.
30 Days Hospital Inpatient All-cause Readmission Rates
7 Participants
0 Participants

SECONDARY outcome

Timeframe: Within 7 days after discharge

Number of Participants who follow-up with outpatient medical attendance within 7 days of hospital discharge at follow-up appointments

Outcome measures

Outcome measures
Measure
Critical Time Intervention
n=10 Participants
Individuals who receive intensive care management during and following discharge from the inpatient medical unit. Critical time intervention: Care management offered by individual with experience working with individuals with serious mental illness. The care managers engage individuals before they are discharged from the hospital and work with them in the community to support linkages with medical and behavioral health care providers. Care managers provide problem-solving, advice, and support to maximize patients' engagement in care.
Treatment as Usual
n=5 Participants
Individuals who receive routine care management during and following discharge from the inpatient medical unit.
Number of Participants Who Follow up With Outpatient Medical Within 7 Days of Hospital Discharge
7 Participants
4 Participants

SECONDARY outcome

Timeframe: Within 30 days after discharge

Number of Participants who follow-up with outpatient medical attendance within 30 days of hospital discharge at follow-up appointments

Outcome measures

Outcome measures
Measure
Critical Time Intervention
n=10 Participants
Individuals who receive intensive care management during and following discharge from the inpatient medical unit. Critical time intervention: Care management offered by individual with experience working with individuals with serious mental illness. The care managers engage individuals before they are discharged from the hospital and work with them in the community to support linkages with medical and behavioral health care providers. Care managers provide problem-solving, advice, and support to maximize patients' engagement in care.
Treatment as Usual
n=5 Participants
Individuals who receive routine care management during and following discharge from the inpatient medical unit.
Number of Participants Who Follow-up With Outpatient Medical Within 30 Days of Hospital Discharge
9 Participants
4 Participants

SECONDARY outcome

Timeframe: Within 7 days after discharge

Number of Participants who follow-up with Outpatient Mental Health Services attendance within 7 days of hospital discharge at follow-up appointments

Outcome measures

Outcome measures
Measure
Critical Time Intervention
n=10 Participants
Individuals who receive intensive care management during and following discharge from the inpatient medical unit. Critical time intervention: Care management offered by individual with experience working with individuals with serious mental illness. The care managers engage individuals before they are discharged from the hospital and work with them in the community to support linkages with medical and behavioral health care providers. Care managers provide problem-solving, advice, and support to maximize patients' engagement in care.
Treatment as Usual
n=5 Participants
Individuals who receive routine care management during and following discharge from the inpatient medical unit.
Number of Participants Who Follow-up With Outpatient Mental Health Services Within 7 Days of Hospital Discharge
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Within 30 days after discharge

Number of Participants who follow-up with Outpatient Mental Health Services attendance within 30 days of hospital discharge at follow-up appointments

Outcome measures

Outcome measures
Measure
Critical Time Intervention
n=10 Participants
Individuals who receive intensive care management during and following discharge from the inpatient medical unit. Critical time intervention: Care management offered by individual with experience working with individuals with serious mental illness. The care managers engage individuals before they are discharged from the hospital and work with them in the community to support linkages with medical and behavioral health care providers. Care managers provide problem-solving, advice, and support to maximize patients' engagement in care.
Treatment as Usual
n=5 Participants
Individuals who receive routine care management during and following discharge from the inpatient medical unit.
Number of Participants Who Follow-up With Outpatient Mental Health Services Within 30 Days of Hospital Discharge
4 Participants
1 Participants

Adverse Events

Critical Time Intervention

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

Treatment as Usual

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Thomas Smith, MD

New York State Psychiatric Institute

Phone: (646)774-8442

Results disclosure agreements

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