NCT02989805.
Trial name or title | Engaging patients with mental disorders from the emergency department in outpatient care (EPIC). |
Methods | Allocation: randomised Blindness: open‐label Duration: 12 months Location: US |
Participants | Diagnosis: mental disorder n = 1000 Age: ≥ 18 years Sex: both History: not stated Exclusion criteria: cognitive impairment, unable to speak English |
Interventions | Group 1: peer specialist care manager: each participating site will have a peer specialist to provide care management. Peer specialists will have a minimum of a high school education, history of a mental illness, be self‐described as 'in recovery,' and have reliable transportation to the study site. All certified peer specialists will receive training in a curriculum that supports identifying and pursuing goals for recovery; developing and documenting recovery‐focused treatment plans; and supporting linkages with community‐based services. Peers will learn to help other people with mental health conditions to facilitate mental health dialogues; explore mental health choices and options; identify and work with a clinician; and obtain access to community health supports. Group 2: professional care manager: each participating site will have a nurse or social worker to provide care management. Training activities will include modules for each of the key domains covered in the intervention: shared decision making, action planning; motivational interviewing; and mental health as a cornerstone of recovery, working effectively within the mental health system; and self‐care and stress management. |
Outcomes | Primary outcome: outpatient treatment engagement after emergency department discharge Secondary outcomes: outpatient engagement, change in Patient‐Reported Outcomes Measurement Information System (PROMIS) scores, change in RAS score, change in Barriers to Care Survey score |
Starting date | 3 April 2017 |
Contact information | bdruss@emory.edu |
Notes | Recruiting |
HbA1c: glycated haemoglobin; i‐PARIHS: integrated – Promoting Action on Research Implementation in Health Services; PEER: Peer Education on Exercise for Recovery; RAS: Recovery Assessment Scale; VA: Veterans Affairs.