Evidence map›Paper›PMID 21724782›Full record

Trial reportPsychiatric services (Washington, D.C.)2011

Randomized trial of critical time intervention to prevent homelessness after hospital discharge.

Daniel B Herman, Sarah Conover, Prakash Gorroochurn, Kinjia Hinterland, Lori Hoepner, Ezra S Susser

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01995864 (A Pilot Multi-center Randomized Controlled Trial of Critical Time Intervention - Task Shifting), which is not on this map. Cited by 69 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01995864 nacompletednot on this mapstarted 2014, after this paper: background citation

A Pilot Multi-center Randomized Controlled Trial of Critical Time Intervention - Task Shifting (CTI-TS) Versus Usual Care for People With Psychotic Disorders

TypeinterventionalSponsorColumbia UniversityRan2014 to 2020Enrolled110ConditionsSchizophrenia, Psychotic DisorderArmsCTI-TS
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Effectiveness of Interventions for Meaningful Activity Participation in Homelessness: A Systematic Review.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2024
    Pooled it
  3. Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Guideline
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Daniel B HermanDivision of Mental Health Services and Policy Research, New York State Psychiatric Institute, New York, NY 10032, USA. dbh14@columbia.edu
Sarah Conover
Prakash Gorroochurn
Kinjia Hinterland
Lori Hoepner
Ezra S Susser

Funding

CTI IN THE TRANSITION FROM HOSPITAL TO COMMUNITYR01MH059716 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE · PI HERMAN, DANIEL B. · 2001 to 2005
$2.7M
NIMH NIH HHS R01 MH059716NIMH NIH HHS R01MH59716
6 · The paper itself

Abstract

objectiveThis study assessed the effectiveness of a previously tested model, critical time intervention (CTI), in producing an enduring reduction in the risk of homelessness for persons with severe mental illness who were discharged from inpatient psychiatric treatment facilities.

methodsA total of 150 previously homeless men and women with severe mental illness and who were discharged from inpatient psychiatric hospitalization to transitional residences on the hospital grounds were randomly assigned to receive usual care or usual care plus CTI at the point of discharge to the community. The nine-month intervention aims to gradually pass responsibility to community sources for providing ongoing support after the intervention ends, thereby leading to a durable reduction in risk of future homelessness. After participants were discharged from the transitional residence (length of stay six to 937 days), their housing status was assessed every six weeks for 18 months via participant self-report collected by interviewers blind to study condition.

resultsIn an intent-to-treat analysis, participants assigned to the CTI group had significantly less homelessness at the end of the follow-up period (the final three six-week intervals) than those assigned to the control group (odds ratio=.22, 95% confidence interval=.06-.88).

conclusionsA relatively brief, focused intervention for persons with severe mental illness led to a reduction in the risk of homelessness that was evident nine months after the intervention ended. This work suggests that targeted, relatively short interventions applied at critical transition points may enhance the efficacy of long-term supports for persons with severe mental illness who are living in the community.

Indexed as

Patient DischargeAdultCase ManagementFemaleFollow-Up StudiesHumansIll-Housed PersonsMaleMental DisordersMiddle AgedRisk Reduction BehaviorSeverity of Illness IndexTime Factors

Identifiers

PMID21724782
PMCPMC3132151

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.