Predictors of psychiatric rehospitalization for persons with serious and persistent mental illness.

Song, Li-Yu; Biegel, David E.; Johnsen, Jeffrey A.

doi:10.1037/h0095252

Cited by 19 publications

(19 citation statements)

References 35 publications

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“…These findings are consistent with previous work in this area [3,7]. The combination of these two variables suggests that patients most likely to require the use of emergency-level psychiatric care are those whose symptoms are both chronic and severe.…”

Section: Variablesupporting

confidence: 92%

“…Unfortunately, this line of inquiry has yielded few results that can be used to shape clinical practice. One consistent finding is the relationship between past inpatient psychiatric admission and future readmission, with patients who have received inpatient care in the past being more likely to be readmitted for future inpatient care [6,7]. Investigation into other factors such as self-reported patient symptoms [8] and diagnosis [3,9] have yielded inconsistent results, causing some researchers to suggest that future approaches to this question should focus on treatment-related factors such as treatment adherence and continuity of care rather than demographic or clinical characteristics alone [10].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Rehospitalization in High-Utilizing Patients in the VA Psychiatric Medical System

2011

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233 high-service-utilizing (HSU) psychiatric patients were recruited during an inpatient psychiatric treatment. They completed a questionnaire related to their treatment beliefs and were tracked via computerized medical records over 2 years. During the follow-up period, 79.8% were readmitted for additional inpatient psychiatric treatment. Survival analysis techniques were used to examine patients' rates of readmittance during the follow-up period. Number of previous year inpatient psychiatric days served as a significant predictor of readmittance status and time to readmission. The survival plot was split by previous-year inpatient days to examine the effect of this variable on readmission. Implications of findings are discussed.

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Section: Variablesupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Predictors of Rehospitalization in High-Utilizing Patients in the VA Psychiatric Medical System

2011

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“…Because past behaviour is in general a good predictor of future behaviour, in the absence of effective intervention, we would expect participants recruited from psychiatric hospitals to have higher levels of future hospitalization than participants recruited from the street. Previous psychiatric hospitalization is indeed an important predictor of re-admission for people with mental illness (Postrado & Lehman, 1995;Song, Biegel, & Johnsen, 1998). Drake, Wallach, and Hoffman (1989) found that among individuals discharged from hospitals, those who became homeless had greater rates of rehospitalization.…”

Section: Predictionsmentioning

confidence: 97%

Housing, hospitalization, and cost outcomes for homeless individuals with psychiatric disabilities participating in continuum of care and housing first programmes

Gülçür

Stefancic

Shinn

et al. 2003

Community & Applied Soc Psy

270

203

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This article compares two approaches to housing chronically homeless individuals with psychiatric disabilities and often substance abuse. The experimental Housing First programme offered immediate access to independent housing without requiring psychiatric treatment or sobriety; the control Continuum of Care programmes made treatment and sobriety prerequisites for housing. A total of 225 participants were interviewed prior to random assignment and every 6-months thereafter for 2 years. Data were analysed using repeated measures analysis of variance. Participants randomly assigned to the experimental condition spent significantly less time homeless and in psychiatric hospitals, and incurred fewer costs than controls. A sub-sample recruited from psychiatric hospitals (n ¼ 68) spent less time homeless and more time hospitalized, and incurred more costs than a subsample (n ¼ 157) recruited from the streets. Recruitment source by programme interactions showed that the experimental programme had greater effects on reducing hospitalization for the hospital subsample and reducing homelessness for the street sub-sample. Three-way interactions including time indicated that in the experimental group, hospitalization and homelessness declined faster for the hospital and street sub-samples, respectively, than for comparable controls. Overall results support the Housing First approach.

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“…Inpatient readmission is common for individuals with severe mental illness (e.g., schizophrenia, mood disorders) with estimates in the range of 40% to 54% (Appleby et al, 2008;Klinkenberg and Calsyn, 1996;Lin et al, 2010;Weiden et al, 1996). The strongest predictor of inpatient rehospitalization is previous psychiatric hospitalizations (Bobo et al, 2004;Bowersox et al, 2012;Daniels et al, 1998;Mellesdal et al, 2010;Song et al, 1998;Zhang et al, 2011). Other clinically significant factors include suicidal ideation (Hoffmann, 1994;Mellesdal et al, 2010), longer duration of the psychiatric illness, and poorer psychosocial adjustment during the past year (Vogel and Huguelet, 1997).…”

mentioning

confidence: 98%

When Partial Hospitalization Fails

et al. 2016

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Partial hospitalization is an understudied bridge between outpatient and inpatient care. One of its primary functions is to prevent the need for inpatient hospitalization. We examined potential demographic and clinical risk factors for inpatient hospitalization for current partial hospital patients. We conducted separate multiple logistic regression analyses for patients referred from inpatient care and the community. For individuals referred from inpatient care, suicidal ideation and greater psychotic symptoms upon admission to the partial program were associated with acute inpatient re-hospitalization. For individuals referred from the community, suicidal ideation and worse relationship functioning upon partial hospital admission were significant risk factors for inpatient hospitalization. Number of previous inpatient hospitalizations and greater substance abuse were not associated with inpatient hospitalization in either sample. Implications at the provider and program level are discussed.

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Predictors of psychiatric rehospitalization for persons with serious and persistent mental illness.

Cited by 19 publications

References 35 publications

Predictors of Rehospitalization in High-Utilizing Patients in the VA Psychiatric Medical System

Predictors of Rehospitalization in High-Utilizing Patients in the VA Psychiatric Medical System

Housing, hospitalization, and cost outcomes for homeless individuals with psychiatric disabilities participating in continuum of care and housing first programmes

When Partial Hospitalization Fails

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