We believe that there are many reasons that people with epilepsy get their health care through the emergency department (ED) instead of through primary care or neurology. Our goal is to create program that will address these reasons. The creation of this program will be informed by use of the Grady electronic health records (EHR). We will use the EHR to describe people with epilepsy coming the Grady ED at a high frequency. We create a profile of these patients by examining their demographics and social determinants of health information in their EHR (Aim 1). We will then use that information to create a culturally and medically appropriate program for people with epilepsy (Aim 2). Next, we will test the new program, the Epilepsy Emergency Department High Utilizer Program (Aim 3). We believe this program may improve three things. It will first improve access to care by epilepsy and mental health doctors, and reduce ED visits. It may also help people to manage their triggers, track seizures, and take their medicines on time. And last, we believe it may improve seizure frequency and quality of life for people that are underserved in health care. With the lessons learned from the new program, we will explore ways to sustain the program at Grady and expand it to other health care facilities (Aim 4).

Inclusion Criteria:

• Adult women aged 18 years or older
• Confirmed diagnosis of epilepsy documented in the electronic health record (EHR)
• Enrolled in the Grady Health System Transition of Care (TOC) ED High Utilizer Program
• History of three or more seizure-related emergency department visits within the past 12 months
• Self-identify as Black or Hispanic
• Reside in the Atlanta metropolitan area with intent to remain for at least 12 months
• Have access to a working phone for follow-up communication

Exclusion Criteria:

• No confirmed epilepsy diagnosis (e.g., non-epileptic seizures)
• Younger than 18 years of age
• Not identified as a high ED utilizer for seizure-related care
• Unable to provide informed consent due to cognitive impairment or psychiatric instability
• Regularly taking anti-epileptic medications with established adherence
• Scheduled neurology follow-up within 14 days of discharge or consistent primary care follow-up
• Complex medical conditions that would limit participation in outpatient follow-up
• Non-English speaking
• Pregnant

The study population includes adult women with a confirmed diagnosis of epilepsy who are high utilizers of emergency department services at Grady Health System. Participants are enrolled through the Transition of Care (TOC) ED High Utilizer Program and have a history of frequent seizure-related ED visits. The study focuses on Black and Hispanic women residing in the Atlanta metropolitan area.

De-identified individual participant data will include demographic characteristics, clinical variables (e.g., seizure frequency, emergency department utilization, medication adherence), and participant-reported outcomes related to epilepsy self-management, quality of life, and behavioral health measures collected during the study period.

De-identified individual participant data (IPD) and supporting documents will be available beginning 6 months after publication of primary study results and will remain available for up to 5 years following publication.

De-identified IPD and supporting documents will be available to qualified researchers upon reasonable request. Requests must include a brief proposal outlining the intended use of the data. Access will be granted following review and approval by the study team and institution. Data will be shared under a data use agreement to ensure protection of participant privacy and confidentiality. Access will be provided through secure data transfer methods.