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Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol

BACKGROUND: Recent jail detention is a marker for trait and state suicide risk in community-based populations. However, healthcare providers are typically unaware that their client was in jail and few post-release suicide prevention efforts exist. This protocol paper describes an effectiveness-imple...

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Autores principales: Arias, Sarah A., Sperber, Kimberly, Jones, Richard, Taxman, Faye S., Miller, Ted R., Zylberfuden, Sarah, Weinstock, Lauren M., Brown, Gregory K., Ahmedani, Brian, Johnson, Jennifer E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655488/
https://www.ncbi.nlm.nih.gov/pubmed/37974126
http://dx.doi.org/10.1186/s12913-023-10249-5
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author Arias, Sarah A.
Sperber, Kimberly
Jones, Richard
Taxman, Faye S.
Miller, Ted R.
Zylberfuden, Sarah
Weinstock, Lauren M.
Brown, Gregory K.
Ahmedani, Brian
Johnson, Jennifer E.
author_facet Arias, Sarah A.
Sperber, Kimberly
Jones, Richard
Taxman, Faye S.
Miller, Ted R.
Zylberfuden, Sarah
Weinstock, Lauren M.
Brown, Gregory K.
Ahmedani, Brian
Johnson, Jennifer E.
author_sort Arias, Sarah A.
collection PubMed
description BACKGROUND: Recent jail detention is a marker for trait and state suicide risk in community-based populations. However, healthcare providers are typically unaware that their client was in jail and few post-release suicide prevention efforts exist. This protocol paper describes an effectiveness-implementation trial evaluating community suicide prevention practices triggered by advances in informatics that alert CareSource, a large managed care organization (MCO), when a subscriber is released from jail. METHODS: This randomized controlled trial investigates two evidence-based suicide prevention practices triggered by CareSource’s jail detention/release notifications, in a partial factorial design. The first phase randomizes ~ 43,000 CareSource subscribers who pass through any Ohio jail to receive Caring Contact letters sent by CareSource or to Usual Care after jail release. The second phase (running simultaneously) involves a subset of ~ 6,000 of the 43,000 subscribers passing through jail who have been seen in one of 12 contracted behavioral health agencies in the 6 months prior to incarceration in a stepped-wedge design. Agencies will receive: (a) notifications of the client’s jail detention/release, (b) instructions for re-engaging these clients, and (c) training in suicide risk assessment and the Safety Planning Intervention for use at re-engagement. We will track suicide-related and service linkage outcomes 6 months following jail release using claims data. CONCLUSIONS: This design allows us to rigorously test two intervention main effects and their interaction. It also provides valuable information on the effects of system-level change and the scalability of interventions using big data from a MCO to flag jail release and suicide risk. TRIAL REGISTRATION: The trial is registered at clinicaltrials.gov (NCT05579600). Registered 27 June, 2023.
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spelling pubmed-106554882023-11-16 Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol Arias, Sarah A. Sperber, Kimberly Jones, Richard Taxman, Faye S. Miller, Ted R. Zylberfuden, Sarah Weinstock, Lauren M. Brown, Gregory K. Ahmedani, Brian Johnson, Jennifer E. BMC Health Serv Res Study Protocol BACKGROUND: Recent jail detention is a marker for trait and state suicide risk in community-based populations. However, healthcare providers are typically unaware that their client was in jail and few post-release suicide prevention efforts exist. This protocol paper describes an effectiveness-implementation trial evaluating community suicide prevention practices triggered by advances in informatics that alert CareSource, a large managed care organization (MCO), when a subscriber is released from jail. METHODS: This randomized controlled trial investigates two evidence-based suicide prevention practices triggered by CareSource’s jail detention/release notifications, in a partial factorial design. The first phase randomizes ~ 43,000 CareSource subscribers who pass through any Ohio jail to receive Caring Contact letters sent by CareSource or to Usual Care after jail release. The second phase (running simultaneously) involves a subset of ~ 6,000 of the 43,000 subscribers passing through jail who have been seen in one of 12 contracted behavioral health agencies in the 6 months prior to incarceration in a stepped-wedge design. Agencies will receive: (a) notifications of the client’s jail detention/release, (b) instructions for re-engaging these clients, and (c) training in suicide risk assessment and the Safety Planning Intervention for use at re-engagement. We will track suicide-related and service linkage outcomes 6 months following jail release using claims data. CONCLUSIONS: This design allows us to rigorously test two intervention main effects and their interaction. It also provides valuable information on the effects of system-level change and the scalability of interventions using big data from a MCO to flag jail release and suicide risk. TRIAL REGISTRATION: The trial is registered at clinicaltrials.gov (NCT05579600). Registered 27 June, 2023. BioMed Central 2023-11-16 /pmc/articles/PMC10655488/ /pubmed/37974126 http://dx.doi.org/10.1186/s12913-023-10249-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Arias, Sarah A.
Sperber, Kimberly
Jones, Richard
Taxman, Faye S.
Miller, Ted R.
Zylberfuden, Sarah
Weinstock, Lauren M.
Brown, Gregory K.
Ahmedani, Brian
Johnson, Jennifer E.
Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol
title Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol
title_full Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol
title_fullStr Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol
title_full_unstemmed Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol
title_short Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol
title_sort managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655488/
https://www.ncbi.nlm.nih.gov/pubmed/37974126
http://dx.doi.org/10.1186/s12913-023-10249-5
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