Trial reportPloS one2017
The effect of brief case management on emergency department use of frequent users in mental health: Findings of a randomized controlled trial.
Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04012697 (A Randomized Controlled Trial of Peer Support Workers in the Emergency Department for People Experiencing Homelessness in the Niagara Region of Ontario, Canada), which is not on this map. Cited by 19 papers, 4 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.
A Randomized Controlled Trial of Peer Support Workers in the Emergency Department for People Experiencing Homelessness in the Niagara Region of Ontario, Canada
Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Community care navigation intervention for people who are at risk of unplanned hospital presentations.The Cochrane database of systematic reviews · 2025Pooled it
- Communication pathways from the emergency department to community mental health services: A systematic review.International journal of mental health nursing · 2022Pooled it
- Pooled it
- Case management programs in emergency department to reduce frequent user visits: a systematic review.Acta bio-medica : Atenei Parmensis · 2019Pooled it
- Hospital Readmissions by Variation in Engagement in the Health Care Hotspotting Trial: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2023Trial
- Patient experiences of a care transition intervention for Veterans to reduce emergency department visits.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Trial
- Health care costs of case management for frequent users of the emergency department: Hospital and insurance perspectives.PloS one · 2018Trial
- Health Care Service Use Outcomes of a Community Mental Health Program for Frequent Emergency Department Users.Administration and policy in mental health · 2026Article
- Experiences and Perceptions of Patient Watch, a Rural Telehealth Case Management Model, for Frequent Presenters to the Emergency Department: A Longitudinal Mixed Methods Study.The Australian journal of rural health · 2026Article
- Acute mental health services use: a comparative study of utilization patterns among Nova Scotia's rapid access and stabilization program (RASP) participants and a control group.BMC psychiatry · 2026Article
- Is frequent emergency department use a complement or substitute for other healthcare services? Evidence from South Carolina Medicaid enrollees.Health services research · 2025Article
- Frequent Users in Psychiatric Consultations: A 6-Year Retrospective Study in the Emergency Department.International journal of environmental research and public health · 2025Observational
- Non-emergency department (ED) interventions to reduce ED utilization: a scoping review.BMC emergency medicine · 2024Article
- A mapping review of interventions to address patients who frequently seek care in the emergency department.BMC emergency medicine · 2024Article
- Profiles of quality of life among patients using emergency departments for mental health reasons.Health and quality of life outcomes · 2023Article
- Using financial incentives to support service engagement of adults experiencing homelessness and mental illness: A qualitative analysis of key stakeholder perspectives.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness.Campbell systematic reviews · 2021Review
- The Impact of Financial Incentives on Service Engagement Among Adults Experiencing Homelessness and Mental Illness: A Pragmatic Trial Protocol.Frontiers in psychiatry · 2021Article
- Prediction of Recurrent Emergency Department Visits in Patients With Mental Disorders.Frontiers in psychiatry · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Frequent users of hospital emergency departments (EDs) are a medically and socially vulnerable population. The Coordinated Access to Care from Hospital EDs (CATCH-ED) study examined the effectiveness of a brief case management intervention in reducing ED use and improving health outcomes among frequent ED users with mental health or addiction challenges in a large urban centre. Adults (≥18 years of age) who had five or more ED visits in the past 12-months, with at least one visit for mental health or addictions problems were randomized to either brief case management (N = 83) or usual care (N = 83) and followed for 12 months. The primary outcome of effectiveness was the frequency of ED visits during 12 months after study enrolment. Secondary outcomes included days in hospital, mental health and addiction symptom severity and health-related quality of life, measured by the SF-12. Compared to usual care, CATCH-ED participants saw a 14% reduction in frequency of ED visits during the 12-month post-randomization period [rate ratio (RR) = 0.86, 95% CI 0.64-1.15)], however, this finding did not reach statistical significance. There were also no statistically significant differences between the groups at 12 months in the number of days spent in hospital (RR = 1.16, 95% CI 0.59-2.29), physical (1.50, 95% CI -2.15-5.15) or mental (-3.97, 95% CI -8.13-0.19) component scores of the SF-12, severity of psychiatric symptoms (-0.41, 95% CI -2.30-1.49), alcohol (0.053 95% -0.017-0.12) or drug (-0.0027, 95% CI -0.0028-0.023) use. Compared to usual care, a brief case management intervention did not result in significantly reduced ED use or improved health outcomes among frequent ED users with mental health or addictions challenges in a large urban centre in Canada. Future studies need to evaluate the availability and accessibility of community-based resources for individuals with frequent ED use.
Indexed as
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.