Trial reportPsychiatric rehabilitation journal2014
Mediation analysis of critical time intervention for persons living with serious mental illnesses: assessing the role of family relations in reducing psychiatric rehospitalization.
Trial report in Psychiatric rehabilitation journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Interventions to improve discharge from acute adult mental health inpatient care to the community: systematic review and narrative synthesis.BMC health services research · 2019Pooled it
- Psychiatric readmissions and their association with environmental and health system characteristics: a systematic review of the literature.BMC psychiatry · 2016Pooled it
- Feasibility and acceptability of unconditional cash transfers intervention among unemployed young adults with first-episode psychosis in South Africa: a pilot randomized controlled trial.International journal of mental health · 2026Article
- Study protocol for a feasibility evaluation of Charge Up!: an adaptation of Critical Time Intervention for young adults moving from homelessness to housing.Pilot and feasibility studies · 2025Article
- Development and evaluation of a family-child reading picture book on reducing autism spectrum disorder caregivers' psychological stress: a mixed method study.Frontiers in psychiatry · 2024Article
- Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta-analysis and thematic synthesis.Campbell systematic reviews · 2023Review
- Peer Worker-Supported Transition from Hospital to Home-Outcomes for Service Users.International journal of environmental research and public health · 2022Article
- Improving mental health care transitions through information capture during admission to inpatient mental health services: a quality improvement study.BMC health services research · 2021Article
- A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness.Campbell systematic reviews · 2021Review
- Measurement of unnecessary psychiatric readmissions in the context of care transition interventions: a scoping review.BMJ open · 2021Article
- Emergency medical services targeting opioid user disorder: An exploration of current out-of-hospital post-overdose interventions.Journal of the American College of Emergency Physicians open · 2020Article
- Article
- Codesigning a Mental Health Discharge and Transitions of Care Intervention: A Modified Nominal Group Technique.Frontiers in psychiatry · 2020Article
- Peer navigation for individuals with serious mental illness leaving jail: a pilot randomized trial study protocol.Pilot and feasibility studies · 2020Article
- Evaluation of a peer-delivered, transitional and post-discharge support program following psychiatric hospitalisation.BMC psychiatry · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveCritical Time Intervention (CTI) is a time-limited care coordination intervention designed to reduce homelessness and other adverse outcomes for persons living with serious mental illness during the transition period between institutions and community living. This study assesses whether CTI improves the quality of family relationships between family members and individuals living with serious mental illness, and examines whether changes in quality of family relationship mediated the association between the intervention and psychiatric rehospitalization outcomes.
methodThis study utilizes data from a randomized controlled trial that assessed the effect of CTI in preventing homelessness. Following discharge from inpatient psychiatric treatment in New York City, 150 previously homeless persons living with serious mental illness were randomly assigned to receive usual services only or 9 months of CTI in addition to usual services.
resultsFindings from mixed-effects regression models indicated that those assigned to the CTI group reported greater frequency of family contact and greater improvement in satisfaction with family relations than the comparison group during the 18-month follow-up period. Mediation analysis revealed that greater improvement in satisfaction with family relations mediated the effect of CTI on psychiatric rehospitalization outcome, but only at a modest level. CONCLUSION AND IMPLICATIONS FOR PRACTICE: These findings suggest that a relatively brief but targeted intervention delivered at the point of hospital discharge may contribute to strengthening family relations and that improvement in perceived family relationship quality can contribute to a reduction in psychiatric rehospitalization.
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Identifiers
What OpenQuestion holds
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.