Use of Peer Staff in a Critical Time Intervention for Frequent Users of a Psychiatric Emergency Room

被引:22
作者
Nossel, Ilana R. [1 ,2 ]
Lee, Rufina J. [3 ]
Isaacs, Abby [4 ]
Herman, Daniel B. [3 ]
Marcus, Sue M. [5 ]
Essock, Susan M. [1 ,2 ]
机构
[1] Columbia Univ, Coll Phys & Surg, Dept Psychiat, New York, NY 10027 USA
[2] New York State Psychiat Inst & Hosp, New York, NY 10032 USA
[3] CUNY Hunter Coll, Silberman Sch Social Work, New York, NY 10021 USA
[4] Weill Cornell Med Coll, Dept Healthcare Policy & Res, New York, NY USA
[5] Columbia Univ, Mailman Sch Publ Hlth, Dept Biostat, New York, NY USA
关键词
HOSPITAL DISCHARGE; REHOSPITALIZATION; HOMELESSNESS; VISITS;
D O I
10.1176/appi.ps.201500503
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Project Connect, a clinical demonstration program developed in consultation with the New York State Office of Mental Health, adapted critical time intervention for frequent users of a large urban psychiatric emergency room (ER). Peer staff provided frequent users with time-limited care coordination. Participants increased their use of outpatient services over 12 months, compared with a similar group not enrolled in the program. For persons with significant general medical, psychiatric, and social needs, provision of this intervention alone is unlikely to reduce reliance on ERs, especially among homeless individuals.
引用
收藏
页码:479 / 481
页数:3
相关论文
共 9 条
[1]   Emergency Department Utilization Among Frequent Users With Psychiatric Visits [J].
Brennan, Jesse J. ;
Chan, Theodore C. ;
Hsia, Renee Y. ;
Wilson, Michael P. ;
Castillo, Edward M. .
ACADEMIC EMERGENCY MEDICINE, 2014, 21 (09) :1015-1022
[2]   Demographic and clinical profiles of patients who make multiple visits to psychiatric emergency services [J].
Chaput, Yves J. A. ;
Lebel, Marie-Josee .
PSYCHIATRIC SERVICES, 2007, 58 (03) :335-341
[3]  
Dixon L, 2009, PSYCHIAT SERV, V60, P451, DOI 10.1176/ps.2009.60.4.451
[4]  
Herman DB, 2011, PSYCHIAT SERV, V62, P713, DOI 10.1176/ps.62.7.pss6207_0713
[5]   Outcomes of critical time intervention case management of homeless veterans after psychiatric hospitalization [J].
Kasprow, Wesley J. ;
Rosenheck, Robert A. .
PSYCHIATRIC SERVICES, 2007, 58 (07) :929-935
[6]   Emergency department use among the homeless and marginally housed: Results from a community-based study [J].
Kushel, MB ;
Perry, S ;
Bangsberg, D ;
Clark, R ;
Moss, AR .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2002, 92 (05) :778-784
[7]   Brief Critical Time Intervention to Reduce Psychiatric Rehospitalization [J].
Shaffer, Sherry L. ;
Hutchison, Shari L. ;
Ayers, Amanda M. ;
Goldberg, Richard W. ;
Herman, Daniel ;
Duch, Deborah A. ;
Kogan, Jane N. ;
Terhorst, Lauren .
PSYCHIATRIC SERVICES, 2015, 66 (11) :1155-1161
[8]   Preventing recurrent homelessness among mentally ill men: A ''critical time'' intervention after discharge from a shelter [J].
Susser, E ;
Valencia, E ;
Conover, S ;
Felix, A ;
Tsai, WY ;
Wyatt, RJ .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1997, 87 (02) :256-262
[9]   The Impact of Critical Time Intervention in Reducing Psychiatric Rehospitalization After Hospital Discharge [J].
Tomita, Andrew ;
Herman, Daniel B. .
PSYCHIATRIC SERVICES, 2012, 63 (09) :935-937