Improving care transitions for Medicaid patients with serious mental illness
Official title: An Equity-focused Intervention to Improve Care Transitions for Medicaid Insured Individuals With Co-occurring Chronic Medical Conditions and Serious Mental Illness
Run by University of Pennsylvania · NCT06203509 · Data updated 2026-11-12
This study is testing a new care program for people with serious mental illness on Medicaid to see if providing home care right after they leave the hospital helps them stay healthy and avoid going back to the hospital.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 267 (estimated) |
| Sponsor | University of Pennsylvania Academic / other |
| Locations | 1 site (Philadelphia, Pennsylvania) |
| Status | Recruiting |
| Started | April 15, 2024 |
| Main results expected | December 1, 2026 |
| Study ends | December 1, 2026 |
| Registry record updated | August 12, 2026 |
| Trial ID | NCT06203509 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are Medicaid-insured individuals residing in Pennsylvania who have been hospitalized and agree to home care services.
✕Probably not a fit
Patients under the age of 18 will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the THRIVE clinical pathway at HUP-Cedar, focusing on Medicaid-insured individuals with serious mental illness after hospitalization. It employs a mixed methods approach, combining qualitative and quantitative data to assess the feasibility and effectiveness of the intervention. The study will analyze referral patterns, readmission rates, and emergency department utilization, while also exploring healthcare providers' perspectives on the implementation process. Participants will receive home care services shortly after discharge, with oversight from healthcare providers for 30 days.
Why it matters
Potential benefit: If successful, this study could enhance care transitions and reduce readmission rates for Medicaid patients with serious mental illness.
How similar studies have gone: Other studies have shown success with similar interventions aimed at improving care transitions for patients with complex needs.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Medicaid insured * Residing in the state of Pennsylvania * Experienced a hospitalization at study hospital * Agrees to home care at partner home care setting. Exclusion Criteria: * Individuals under age 18
Where it's running
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Upenn School of Nursing Centre For Health Outcomes Policy Research
Philadelphia, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Jacqueline M Brooks Carthon, PhD,RN — University of Pennsylvania
- Study coordinator: Jacqueline M Brooks Carthon, PhD,RN
- Email: jmbrooks@nursing.upenn.edu
- Phone: 2158988050
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.