The Relationship of Illness Management and Recovery to State Hospital Readmission

Abstract

The current study examined the association between number of hours attended of the Illness Management and Recovery (IMR) program and psychiatric readmission rates after discharge from a state psychiatric hospital. The study used archival data, N = 1186, from a large northeastern state psychiatric hospital in the United States. A Cox's regression survival analyses was conducted, adjusting for extreme outliers and controlling for sociodemographic covariates, to examine the association between different amounts of IMR and the risk for returning to the hospital. After controlling for the client characteristics of age, sex, marital status, psychiatric diagnosis, and Global Assessment of Functioning score at discharge, as well as controlling for mean daily dose of generic hospital programming and the number of days of hospitalization, it was found that, for each hour of IMR, there was an associated 1.1% reduction in the risk for returning to the hospital. This suggests that participation in IMR while in inpatient settings may assist individuals in reducing their risk for returning to the hospital.

Patient Characteristics Associated with Inpatient Psychiatric Re-admissions and the Utility of the READMIT Clinical Risk Index

“…Findings also indicate that having insurance was associated with 30 day readmissions. The current literature supports higher lifetime re-admission rates (Bowersox, Saunders, & Berger, 2007;Montgomery & Kirkpatrick, 2002;Schmutte, Dunn & Sledge, 2009;Stein et al, 2014), and the diagnoses of psychosis (Hamilton et al, 2015;Lin et al, 2010;Schmutte, Dunn & Sledge, 2010;Vigod et al, 2015), bipolar disorder, depression and other disorder (Bartholomew & Zechner, 2014;Hamilton et al, 2015;Vigod et al, 2015) as being associated with inpatient psychiatric re-admissions. The associations between the diagnoses and increased re-admissions support the finding in this study of higher 'diagnoses and discharge' scores associated with 30 day re-admissions.…”

Rapid realist review of the evidence: achieving lasting change when mental health rehabilitation staff undertake recovery‐oriented training

“…Bartholomew and Zechner () explores the link between the service user's ‘dose’ of IMR and their risk of readmission.…”

“…Case study 1: Bartholomew and Kensler (2010); Bartholomew and Zechner (2014) Bartholomew and Kensler (2010) relates to implementing Illness Management and Recovery (IMR) firstly in transitional unit and then other complexes including acute and admissions, in a state psychiatric hospital in the USA (see Table 1). Bartholomew and Zechner (2014) explores the link between the service user's 'dose' of IMR and their risk of readmission.…”

“…Case study 1: Bartholomew and Kensler (2010); Bartholomew and Zechner (2014) Bartholomew and Kensler (2010) relates to implementing Illness Management and Recovery (IMR) firstly in transitional unit and then other complexes including acute and admissions, in a state psychiatric hospital in the USA (see Table 1). Bartholomew and Zechner (2014) explores the link between the service user's 'dose' of IMR and their risk of readmission. Case study 2: Way et al (2002); Bassman (2000) Way et al (2002 relates to the NY Core Curriculum 3-day mandatory training programme, which includes a Recovery module, for staff of adult and forensic mental health facilities in the USA (see Table 1).…”

Efficacy of ‘Five Ways to Well-being Program’ in Promotion of Mental Wellbeing for Persons Admitted to Acute Psychiatric Service

“…While medication and psychological intervention remain the first line treatments, Wellbeing Program provides a juncture to clinical treatment that applies psycho-sociobehavioral principles to enhance physical and mental wellbeing [13,14]. The Illness Management Program was evidenced to be effective in reducing risk of readmission, enhancing selfmanagement and wellbeing of clients with severe mental illness [15,16]. The Five Ways to Wellbeing program has provided a simple-minded agency, recapping basic components in daily life: to learn, to connect, to appreciate, to participate and to give; and served the value of building 'Hope'; in addition to 'Wellbeing', as shown from this study.…”