Short stay unit for patients in acute mental health crisis: A case‐control study of readmission rates

Abstract

Introduction: Past evaluations of psychiatric short stay units have shown positive outcomes for patients, yet very little is known about the factors related to readmissions. Methods: A Short Stay Pathway (SSP) has been introduced on the Gold Coast, Australia, for patients in acute mental health crisis with admissions of up to 3 days. Rates of readmissions within 28 days were compared for SSP patients (N = 678), and a diagnosis-matched control group of patients from acute mental health beds (N = 1356). Demographic and clinical factors were considered as predictors of subsequent readmissions.Results: Average length of stay for SSP patients was 3.4 days, compared to 7.6 days in the control group. 10.6% of SSP patients and 18.4% of the control group were readmitted within 28 days (P < .001). For both groups, a 7-day follow up significantly reduced readmissions (P < .05). Indigenous patients on SSP had higher odds of readmissions than non-Indigenous patients (P < .05), and a diagnosis of a personality disorder increased readmission in the control group but not the SSP group (P < .001).Discussion: SSP reduced repeated hospitalizations for patients in acute crisis by 42%.An identification of factors related to future admissions can inform future tailoring of this model of care to subgroups of patients. K E Y W O R D Shospitalization, length of stay, mental health, patient readmission, psychiatry Lee Williams, Ascent Psychiatry,

Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort

“…Overall, rates of hospital admissions for specialised psychiatric care (for any cause) for Indigenous people in Australia are approximately double those of non-Indigenous Australians (154 vs. 63 per 10,000) [22]. While there are some signs that the hospitalisation disparities associated with Indigeneity can be accounted for by differing socio-demographic and clinical characteristics [12,23], there are also indications that Indigenous patients may experience more restrictive care within psychiatric units (e.g., higher rates of seclusion and restraint) [24] and experience poorer outcomes (e.g., higher 1-month readmission rate for acute mental health short stay care) [25].…”