Reducing Hospital Readmissions in Patients With Depressive Symptoms

Therapuetic Areas:Psychiatry / Psychology
Age Range:18 - Any
Start Date:February 2013
End Date:February 2018

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Reducing Hospital Readmission Among Medical Patients With Depressive Symptoms

Project Re-Engineered Discharge (Project RED) has previously demonstrated that patients who
received the RED were 30% less likely than patients receiving usual care to access inpatient
or emergency services within 30 days of discharge. In this project, the investigators add a
new dimension to RED by integrating screening, referral and treatment for depression into the
original RED intervention and determining if this enhanced intervention increases the
effectiveness of RED in preventing readmissions and controlling costs in the 180 days after
discharge for patients with signs of depression.

Inclusion Criteria:

- Over 18 years of age

- Admitted to any Boston Medical Center inpatient service or for observation

- Screen positive for depressive symptoms (Patient Health Questionnaire - 2 >/= 3)

- Speaks English with health care providers

- Has access to a telephone

- Live in the Boston area and don't plan on leaving the Boston area for more than 2
weeks in the next 6 months

- Screen positive for depressive symptoms (PHQ -9 >/= 10)

Exclusion Criteria:

- Has plans for inpatient rehabilitation, nursing home, or other institutional settings
after discharge.

- Suicidal precautions

- Sickle Cell Crisis (SCC)

- Alcohol and/or drug dependence

- Diagnosis of Bipolar Disorder, Schizophrenia or other Psychotic Disorder

- In police custody
We found this trial at
Boston, Massachusetts 02118
Boston, MA
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