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Randomized Controlled Trial
. 2015 Jan;203(1):65-70.
doi: 10.1097/NMD.0000000000000224.

The role of a critical time intervention on the experience of continuity of care among persons with severe mental illness after hospital discharge

Andrew Tomita  1 , Daniel B Herman
Affiliations
Randomized Controlled Trial

The role of a critical time intervention on the experience of continuity of care among persons with severe mental illness after hospital discharge

Andrew Tomita et al. J Nerv Ment Dis. 2015 Jan.

Abstract

We investigated the impact of critical time intervention (CTI) on self-reported indicators of quality of continuity of care (COC) after discharge from inpatient psychiatric treatment with data from a randomized controlled trial that assessed the effectiveness of the intervention in reducing recurrent homelessness. Postdischarge COC outcome measures among previously homeless persons with severe mental illness randomly assigned to receive usual services only (n = 73) or 9 months of CTI in addition to usual services (n = 77) were compared. Those assigned to CTI had greater perceived access to care than the usual services group did, with this impact extending beyond the point at which the intervention ended. A time-limited care coordination intervention provided immediately after hospital discharge may improve COC, but further studies are needed to substantiate an effect of CTI on long-term continuity outcomes.

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Conflict of interest statement

Conflict of interest: No conflict of interest declared.

References

    1. Adair CE, McDougall GM, Beckie A, Joyce A, Mitton C, Wild CT, Gordon A, Costigan N. History and measurement of continuity of care in mental health services and evidence of its role in outcomes. Psychiatr Serv. 2003;54:1351–1356. - PubMed
    1. Adair CE, McDougall GM, Mitton CR, Joyce AS, Wild TC, Gordon A, Costigan N, Kowalsky L, Pasmeny G, Beckie A. Continuity of care and health outcomes among persons with severe mental illness. Psychiatr Serv. 2005;56:1061–1069. - PubMed
    1. Bachrach L. Continuity of care for chronic mental patients: a conceptual analysis. Am J Psychiatry. 1981;138:1449–1456. - PubMed
    1. Bindman J, Johnson S, Szmukler G, Wright S, Kuipers E, Thornicroft G, Bebbington P, Leese M. Continuity of care and clinical outcome: a prospective cohort study. Soc Psychiatry Psychiatr Epidemiol. 2000;35:242–7. - PubMed
    1. Bruce G, John WS, George KF, Jeannie LH. Continuity of care matters. BMJ. 2008;337:a867. - PubMed

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