Evidence map›Paper›PMID 22810163›Full record

Trial reportPsychiatric services (Washington, D.C.)2012

The impact of critical time intervention in reducing psychiatric rehospitalization after hospital discharge.

Andrew Tomita, Daniel B Herman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. 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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  5. Intensive case management for severe mental illness.The Cochrane database of systematic reviews · 2017
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Andrew TomitaDepartment of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th St., New York, NY 10032, USA. mat2122@columbia.edu
Daniel B Herman

Funding

Fogarty International Clinical Research Scholars Support Center @ Vanderbilt-AAMCR24TW007988 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2007 to 2011
$27.6M
CTI IN THE TRANSITION FROM HOSPITAL TO COMMUNITYR01MH059716 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE · PI HERMAN, DANIEL B. · 2001 to 2005
$2.7M
Training in Social Epidemiology Methods in Research on Homeless Mental HealthF31MH082621 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI TOMITA, MITSUAKI ANDREW · 2008 to 2011
$72k
FIC NIH HHS R24 TW007988NIMH NIH HHS F31 MH082621NIMH NIH HHS F31MH 082621NIMH NIH HHS R01 MH059716NIMH NIH HHS R01MH59716
6 · The paper itself

Abstract

objectivesThis study examined the impact of critical time intervention (CTI) in reducing rehospitalization among formerly homeless individuals with severe and persistent mental illness after discharge from inpatient psychiatric treatment.

methodsCTI is a nine-month care coordination intervention designed to support persons with severe mental illness in the transition from institutions to community living. After discharge from inpatient psychiatric treatment, 150 previously homeless men and women were randomly assigned to receive either usual services only or CTI in addition to usual services. Study participants were assessed every six weeks for 18 months after entering the community.

resultsAt the end of the follow-up period, psychiatric rehospitalization was significantly lower for the group assigned to CTI compared with the usual services group (odds ratio=.11, 95% confidence interval=.01-.96).

conclusionsThis study demonstrated that CTI, primarily designed to prevent recurrent homelessness, also reduced the occurrence of rehospitalization after discharge.

Indexed as

Patient DischargePatient ReadmissionAdultConfidence IntervalsFemaleHumansIll-Housed PersonsMaleMental DisordersMiddle AgedNew York CityOdds RatioRisk Reduction BehaviorSeverity of Illness IndexTime Factors

Identifiers

PMID22810163
PMCPMC3989527

What OpenQuestion holds

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Registered trials

None linked

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.