Bridging the Gap Between Hospital and Community Mental Health Services for Frequent Emergency Department Visitors

Cherner, Rebecca; Polillo, Alexia; Samosh, Jonathan; Sylvestre, John; Rae, Jennifer; Pettey, Donna; Aubry, Tim

doi:10.7870/cjcmh-2022-001

Cited by 3 publications

(2 citation statements)

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“…Case managers were particularly concerned that a subset of clients could take months to outreach and engage into the program, following which they could benefit from program services, but then they lost this opportunity due to time constraints. This is consistent with the findings of prior implementation studies of the Familiar Faces program (Cherner et al, 2022; Samosh et al, 2019), as well as other community interventions for frequent emergency department users (Poremski et al., 2016). These results speak to the challenging policy considerations involved when balancing limited resources with high levels of need and varied readiness for change at the population level.…”

Section: Discussion and Implications For Case Management Practicesupporting

confidence: 90%

“…This novel program design reflects innovation in the field of health care services for frequent emergency department users. Evaluations of the implementation of this service indicated that such a program can be developed and implemented efficiently and sustainably (Cherner et al, 2022; Samosh et al, 2019). However, outcome studies investigating the effectiveness of this service delivery model and its related mechanisms of change have not yet been published.…”

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confidence: 99%

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Community Mental Health Services for Frequent Emergency Department Users

Samosh,

Agha,

Pettey

et al. 2023

Professional Case Management

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Purpose of Study: This study aimed to investigate the perceived outcomes and mechanisms of change of a community mental health service combining system navigation and intensive case management supports for frequent emergency department users presenting with mental illness or addiction. Primary Practice Setting: The study setting was a community mental health agency receiving automated referrals directly from hospitals in a midsize Canadian city for all individuals attending an emergency department two or more times within 30 days for mental illness or addiction. Methodology and Sample: Qualitative interviews with 15 program clients. Focus groups with six program case managers. Data were analyzed using pragmatic qualitative thematic analysis. Results: Participants generally reported perceiving that the program contributed to reduced emergency department use, reduced mental illness symptom severity, and improved quality of life. Perceived outcomes were more mixed for outcomes related to addiction. Reported mechanisms of change emphasized the importance of positive working relationships between program clients and case managers, as well as focused efforts to develop practical skills. Implications for Case Management Practice: Community mental health services including intensive case management for frequent emergency department users presenting with mental illness or addiction were perceived to effectively address client needs while reducing emergency department resource burden. Similar programs should emphasize the development of consistent and warm working relationships between program clients and case managers, as well as practical skills development to support client health and well-being.

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Section: Discussion and Implications For Case Management Practicesupporting

confidence: 90%

mentioning

confidence: 99%