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. 2019 Apr 4;2019(4):CD010880. doi: 10.1002/14651858.CD010880.pub2

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.