Shifting Trends in Admission Patterns of an Acute Inpatient Psychiatric Unit in the State of New York

Shah, Bhumika; Leontieva, Luba; Megna, James L

doi:10.7759/cureus.9285

Cited by 4 publications

(15 citation statements)

References 21 publications

(37 reference statements)

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“…Deinstitutionalization, or the movement that advocates for the transfer of psychiatric patients from long-term facilities back to their families or community-based alternatives, has led to changes in the utilization of inpatient units [5]. Shifts in demographic variables, disease-related, system-based, and economic factors have been observed in the treatment recipients of acute inpatient psychiatric units [4,5]. There has been an increase in admissions pertaining to patients with neurodevelopmental disorders, substance use disorders, and trauma and stressor-related disorders [4,5].…”

Section: Review Of Literature Admission Rates and Inpatient Demographicsmentioning

confidence: 99%

“…Shifts in demographic variables, disease-related, system-based, and economic factors have been observed in the treatment recipients of acute inpatient psychiatric units [4,5]. There has been an increase in admissions pertaining to patients with neurodevelopmental disorders, substance use disorders, and trauma and stressor-related disorders [4,5]. The most frequent diagnosis seen within the inpatient population was depressive disorder (29.44 %), followed by schizophrenia spectrum and other psychotic disorders (17.12%), and substance-related and addictive disorders (14.76%) [4,5].…”

Section: Review Of Literature Admission Rates and Inpatient Demographicsmentioning

confidence: 99%

“…There has been an increase in admissions pertaining to patients with neurodevelopmental disorders, substance use disorders, and trauma and stressor-related disorders [4,5]. The most frequent diagnosis seen within the inpatient population was depressive disorder (29.44 %), followed by schizophrenia spectrum and other psychotic disorders (17.12%), and substance-related and addictive disorders (14.76%) [4,5]. There was nearly a significant increase in personality disorders [5].…”

Section: Review Of Literature Admission Rates and Inpatient Demographicsmentioning

confidence: 99%

“…The most frequent diagnosis seen within the inpatient population was depressive disorder (29.44 %), followed by schizophrenia spectrum and other psychotic disorders (17.12%), and substance-related and addictive disorders (14.76%) [4,5]. There was nearly a significant increase in personality disorders [5]. The use of restraints has also increased significantly [4,5].…”

Section: Review Of Literature Admission Rates and Inpatient Demographicsmentioning

confidence: 99%

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The Relationship between Cognitive Impairment in Psychiatric Patients and Readmission Rate to an Inpatient Facility

Isis Schuff,

J Aragon

2023

J Clin Psychol Neurol

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The primary intention of this study was to further understand the impact of assessing cognitive impairment in psychiatric patients, as a mediating factor on readmission rates. Mild cognitive dysfunction impacts a patient’s functional outcomes [1,2]. Little information exists to guide best practices in the treatment of adults with cognitive impairment who are hospitalized for acute conditions [2]. A cognitive impairment may impact patient prognosis and ability to function outside of a setting focused on stabilization. Neuropsychological testing is a valuable tool in predicting a patient’s cognitive potential. However, creating a battery of tests that must be short enough to fit the needs of patients within an inpatient setting, allowing them to demonstrate their ability, while still providing enough information for accurate diagnosis and prognosis is a challenge. Overall, this study aimed to investigate the utilization of brief cognitive screeners in identifying patients that may be more vulnerable to relapse and readmission. Cognitive impairment was assessed utilizing the Montreal Cognitive Assessment (MoCA). Readmission rate is defined by total admissions per individual patient. The use of community resources, such as medication management, case management, housing programs, and their relationship with readmission rates was examined. Archival data was taken from an inpatient facility’s HIPAA-compliant electronic medical record (EMR) database. All personal identifying information was de-identified to ensure minimal risk of breaching confidentiality. Although all objectives demonstrated significant correlations among the variables, there were no significant predictive models. This study found a positive linear relationship between admission rate and a higher MoCA score. This may partially be explained by Age (M = 69.09, SD = 8.25) having a negative relationship with inpatient readmission rate and a positive relationship with community resources. Within the inpatient setting, patients with higher cognitive functioning may be more aware of their mental health symptoms and are more likely to seek help. This may lead to more frequent admissions as they are able to seek help to address their mental health concerns. The relationship between patient demographics, community resource usage, and readmission rate was also examined. Limitations of this study included the use of archival data, a small sample size, and a lack of diversity within the sample. Future directions for research include norming the MoCA for psychiatric populations and examining deficit patterns within the cognitive domains.

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Section: Review Of Literature Admission Rates and Inpatient Demographicsmentioning

confidence: 99%

Section: Review Of Literature Admission Rates and Inpatient Demographicsmentioning

confidence: 99%

Section: Review Of Literature Admission Rates and Inpatient Demographicsmentioning

confidence: 99%

Section: Review Of Literature Admission Rates and Inpatient Demographicsmentioning

confidence: 99%

See 2 more Smart Citations

The Relationship between Cognitive Impairment in Psychiatric Patients and Readmission Rate to an Inpatient Facility

Isis Schuff,

J Aragon

2023

J Clin Psychol Neurol

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“…Major depressive disorder (MDD) is a common enervating illness affecting 264 million people worldwide [ 1 ]. Depression as a chief complaint is prevalent in the inpatient psychiatric unit [ 2 ]. Due to significant loss of function and health risks, many people who experience depression need medical treatment.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Adjunctive Bright Light Therapy for Depressive Symptoms on an Acute Psychiatric Floor

Trinh¹,

Jain²,

Sabahath³

et al. 2021

Cureus

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Background: Bright light therapy (BLT) has been increasingly used as an experimental treatment in non-seasonal unipolar depression. While clinical trials have demonstrated the efficacy of BLT in ameliorating depression for outpatients, studies examining BLT in the psychiatric inpatient setting are currently lacking. Aim: The purpose of this study is to explore whether BLT as adjunctive treatment for depressive symptoms on an acute psychiatric floor is feasible and explore associated changes in depressive symptoms. Methods: An observational, cross-sectional study was conducted at State University of New York (SUNY) Upstate 4B acute inpatient psychiatric unit. BLT was administered to participating patients as adjunctive therapy to their psychopharmacological and psychotherapy treatments on a daily basis throughout their hospitalization. Beck Depression Inventory-II (BDI-II), Hamilton Rating Scale for Depression (HAM-D), and Outcome Questionnaire-45.2 (OQ-45.2) were administered before commencing BLT and after their last BLT session. Changes to the aforementioned measures before and after BLT treatment, the dose response of measure changes based on number of sessions, and the hospital length of stay along with the secondary factors such as age, gender, other psychiatric comorbidities, social factors, and psychiatric medications were analyzed. Results: BLT is feasible on acute psychiatric inpatient floor with adherence of 94% and has very few side effects. The repeated measures of depression and functioning demonstrated significant decrease in depression and improvement in functioning. Although not statistically significant, clinical meaningful dose-response relationship was found between a number of BLT sessions and improvement in depressive symptoms with five BLT sessions being an optimal amount for depression amelioration. Conclusion: BLT combined with the ongoing psychopharmacological treatment was well tolerated and easy to administer. It offers a simple, safe, and cost-effective approach to augmenting depressive treatment on an acute psychiatric floor.

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Outpatient General Psychiatry

Noffsinger

Magalotti

2022

Malpractice and Liability in Psychiatry

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Shifting Trends in Admission Patterns of an Acute Inpatient Psychiatric Unit in the State of New York

Cited by 4 publications

References 21 publications

The Relationship between Cognitive Impairment in Psychiatric Patients and Readmission Rate to an Inpatient Facility

The Relationship between Cognitive Impairment in Psychiatric Patients and Readmission Rate to an Inpatient Facility

Feasibility of Adjunctive Bright Light Therapy for Depressive Symptoms on an Acute Psychiatric Floor

Outpatient General Psychiatry

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