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BMC Health Serv Res. 2016 Aug 24;16(1):432. doi: 10.1186/s12913-016-1666-1.

Brief case management versus usual care for frequent users of emergency departments: the Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) randomized controlled trial.

Author information

1
Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Canada. vicky.stergiopoulos@camh.ca.
2
Department of Psychiatry, University of Toronto, Toronto, Canada. vicky.stergiopoulos@camh.ca.
3
Centre for Addiction and Mental Health, Toronto, Canada. vicky.stergiopoulos@camh.ca.
4
Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Canada.
5
Department of Psychiatry, University of Toronto, Toronto, Canada.
6
Division of General Internal Medicine, Department of Medicine, University of Toronto, Toronto, Canada.
7
Mount Sinai Hospital, Toronto, Canada.

Abstract

BACKGROUND:

Frequent users of hospital emergency departments (EDs) are a medically and socially vulnerable population. This article describes the rationale for a brief case management intervention for frequent ED users with mental health and/or addiction challenges and the design of a randomized trial assessing its effectiveness.

METHODS/DESIGN:

Eligible participants are adults in a large urban centre with five or more ED visits in the past year, with at least one prior visit for a mental health or addictions reason. Participants (N = 166) will be randomized to either 4 to 6 months of brief case management or usual care, and interviewed every 3 months for 1 year. Consent will be sought to access administrative health records. A subset of participants (N = 20) and service providers (N = 13) will participate in qualitative data collection.

DISCUSSION:

Addressing the needs of frequent ED users is a priority in many jurisdictions. This study will provide evidence on the effectiveness of brief case management, compared to usual care, on reducing ED visits among frequent ED users experiencing mental health or substance misuse problems, and inform policy and practice in this important area.

TRIAL REGISTRATION:

ClinicalTrials.gov Identifier: NCT01622244 . Registered 4 June 2012.

KEYWORDS:

Addictions; Case management; Emergency department; Frequent users; Mental health; Randomized controlled trial

PMID:
27557705
PMCID:
PMC4997752
DOI:
10.1186/s12913-016-1666-1
[Indexed for MEDLINE]
Free PMC Article

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