Evidence map›Paper›PMID 28002491›Full record

ArticlePloS one2016

Perceived Case Management Needs and Service Preferences of Frequent Emergency Department Users: Lessons Learned in a Large Urban Centre.

Deborah Kahan, Daniel Poremski, Deborah Wise-Harris, Daniel Pauly, Molyn Leszcz, Donald Wasylenki, Vicky Stergiopoulos

2 registry-linked trialsAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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.

NCT04219748 naterminatednot on this mapstarted 2020, after this paper: background citation

"Case Management" de Problemes Per Ús d'Alcohol en Pacients Que Hiperfreqüenten el Servei d'Urgències

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2020 to 2021Enrolled11ConditionsAlcohol Drinking, Alcohol-Related DisordersArmsCase Management
NCT04938258 naterminatednot on this mapstarted 2021, after this paper: background citation

Feasibility and Potential Effectiveness of a Case Management Intervention for Alcohol Use-Related Problems in Frequent Users of an Emergency Department: a Pilot Study

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2021 to 2023Enrolled5ConditionsAlcohol Drinking, Alcohol-Related DisordersArmsIntensive Case Management
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Using case management in a universal health coverage system to improve quality of life of frequent Emergency Department users: a randomized controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
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  10. Predictors of Frequent Emergency Department Utilization for Mental Health Reasons.The journal of behavioral health services & research · 2021
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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

7 authors.

Deborah KahanDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Daniel PoremskiCentre for Urban Health Solutions, St. Michael's Hospital, Toronto, Ontario, Canada.
Deborah Wise-HarrisCentre for Urban Health Solutions, St. Michael's Hospital, Toronto, Ontario, Canada.
Daniel PaulyCentre for Urban Health Solutions, St. Michael's Hospital, Toronto, Ontario, Canada.
Molyn LeszczDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Donald WasylenkiDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Vicky StergiopoulosDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to explore the service needs and preferences of frequent emergency department users with mental health and addictions concerns who participated in a brief intensive case management intervention.

methodsWe conducted semi-structured individual interviews with 20 frequent emergency department users with mental health and addictions challenges, 13 service providers involved in the delivery of a brief case management intervention, and a focus group with intervention case managers. Thematic analysis was used to explore perceived service user profiles, service needs and preferences of care.

resultsService users experienced complex health and social needs and social isolation, while exhibiting resilience and the desire to contribute. They described multiple instances of stigmatization in interactions with healthcare professionals. Components of the brief intensive case management intervention perceived to be helpful included system navigation, advocacy, intermediation, and practical needs assistance. Frequent service users valued relational responsiveness, a non-judgmental stance, and a recovery orientation in case managers.

conclusionInterventions for frequent service users in mental health may be enhanced by focusing on the engagement of formal and informal social supports, practical needs assistance, system navigation, advocacy and intermediation, and attention to the recovery goals of service users.

Indexed as

Emergency Service, HospitalPerceptionAdolescentAdultBehavior, AddictiveCase ManagementFocus GroupsHospitals, UrbanHumansInterviews as TopicMental HealthMiddle AgedSocial IsolationSocial StigmaSocial SupportYoung Adult

Identifiers

PMID28002491
PMCPMC5176181

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.