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Published Online: 1 September 2012

The Impact of Critical Time Intervention in Reducing Psychiatric Rehospitalization After Hospital Discharge

Abstract

Objectives:

This 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.

Methods:

CTI 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.

Results:

At 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).

Conclusions:

This study demonstrated that CTI, primarily designed to prevent recurrent homelessness, also reduced the occurrence of rehospitalization after discharge. (Psychiatric Services 63:935–937, 2012; doi: 10.1176/appi.ps.201100468)

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Figure 1 Proportion of participants in two groups who had at least one night of psychiatric rehospitalization in any interval during the 18-month follow-up

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: Candy Apples, by Wayne Thiebaud, 1964/1990. Watercolor over hand-ground and dry-point etching, 5 × 5 inches. Gift of Mr. and Mrs. Paul LeBaron Thiebaud, 1996.19. Kemper Museum of Contemporary Art, Kansas City, Missouri.
Psychiatric Services
Pages: 935 - 937
PubMed: 22810163

History

Published online: 1 September 2012
Published in print: September 2012

Authors

Details

Andrew Tomita, Ph.D.
Dr. Tomita is affiliated with the Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th St., New York, NY 10032 (e-mail: [email protected]). Dr. Herman is with the Silberman School of Social Work, Hunter College, New York City.
Daniel B. Herman, Ph.D.
Dr. Tomita is affiliated with the Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th St., New York, NY 10032 (e-mail: [email protected]). Dr. Herman is with the Silberman School of Social Work, Hunter College, New York City.

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