Evidence map›Paper›PMID 29752632›Full record

ArticleThe journal of behavioral health services & research2019

Care Management Intervention to Decrease Psychiatric and Substance Use Disorder Readmissions in Medicaid-Enrolled Adults.

Shari L Hutchison, Jenny V Flanagan, Irina Karpov, Lisa Elliott, Brandi Holsinger, Jamie Edwards, David Loveland

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in The journal of behavioral health services & research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
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.

Shari L HutchisonCommunity Care Behavioral Health Organization, 339 Sixth Avenue, Suite 1300, Pittsburgh, PA, 15222, USA. hutchisons@ccbh.com.
Jenny V FlanaganCommunity Care Behavioral Health Organization, 339 Sixth Avenue, Suite 1300, Pittsburgh, PA, 15222, USA.
Irina KarpovCommunity Care Behavioral Health Organization, 339 Sixth Avenue, Suite 1300, Pittsburgh, PA, 15222, USA.
Lisa ElliottCommunity Care Behavioral Health Organization, 339 Sixth Avenue, Suite 1300, Pittsburgh, PA, 15222, USA.
Brandi HolsingerCommunity Care Behavioral Health Organization, 339 Sixth Avenue, Suite 1300, Pittsburgh, PA, 15222, USA.
Jamie EdwardsCommunity Care Behavioral Health Organization, 339 Sixth Avenue, Suite 1300, Pittsburgh, PA, 15222, USA.
David LovelandCommunity Care Behavioral Health Organization, 339 Sixth Avenue, Suite 1300, Pittsburgh, PA, 15222, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study examines the generalizability of a successful care management bridging strategy implemented by a behavioral health managed care organization to reduce readmission in psychiatric and substance use disorder (SUD) populations. The sample included 1724 individuals with a psychiatric or SUD hospitalization or detoxification service within 30-days of a prior SUD or inpatient event; 1243 Medicaid-enrolled adults received the intervention plus usual care, and 481 individuals received only usual care. Results included lower readmission to SUD facilities (p = .0012) and reduced odds of readmission among individuals with a SUD event (OR = 0.49, p = .0006) for the intervention versus the comparison group. Likelihood of readmission was higher for those with dual diagnoses (OR = 1.72, p = .0002) or in urban settings (OR = 1.47, p = .0010), with some evidence of the intervention's success in these populations. Care management bridging strategies may be more effective for individuals who utilize SUD services and others who need help navigating complex systems of care.

Indexed as

Case ManagementMental Health ServicesAdolescentAdultDiagnosis, Dual (Psychiatry)FemaleHumansMaleMedicaidMental DisordersMiddle AgedPatient ReadmissionPennsylvaniaSubstance Abuse Treatment CentersSubstance-Related DisordersUnited StatesManaged careMedicaidMental healthReadmissionSocial determinantsSubstance use disorders

Identifiers

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.