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Published Online: 31 March 2015

Psychiatric Readmissions in a Community-Based Sample of Patients With Mental Disorders

Abstract

Objective:

This study examined whether receipt of outpatient psychiatric services after hospital discharge was associated with reduced risk of readmission.

Methods:

Treatment records from patients admitted to San Diego County psychiatric hospitals over a one-year period were obtained from the San Diego County Behavioral Health Services electronic health record system. A discrete-time proportional hazards model was used to examine the association of receipt of outpatient psychiatric services with readmission within 30 days of discharge from the index hospitalization.

Results:

Of the 4,663 patients, 16% were readmitted within 30 days. In an adjusted model, receipt of outpatient therapy after discharge was associated with a greater likelihood of being readmitted (hazard ratio=1.36, 95% confidence interval=1.14–1.67), whereas receipt of case management or medication management was not associated with readmission.

Conclusions:

The differential risk of readmission by service type suggests a need for studies that explore reasons for an increased risk of readmission with certain types of services.

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: By the Pond, by Mary Cassatt, circa 1898. Color print with dry point and aquatint, fourth and final state (classmark: MEZAP+). Print collection, Miriam and Ira D. Wallach Division of Art, Prints and Photographs, New York Public Library. Photo credit: The New York Public Library/Art Resource, New York City.

Psychiatric Services
Pages: 551 - 554
PubMed: 25828876

History

Received: 7 March 2014
Revision received: 12 August 2014
Accepted: 2 September 2014
Published online: 31 March 2015
Published in print: May 01, 2015

Authors

Details

Maya Vijayaraghavan, M.D., M.A.S.
The authors are with the Department of Family Medicine and Public Health, University of California, San Diego. Send correspondence to Dr. Gilmer (e-mail: [email protected]).
Karen Messer, Ph.D.
The authors are with the Department of Family Medicine and Public Health, University of California, San Diego. Send correspondence to Dr. Gilmer (e-mail: [email protected]).
Zhun Xu, Ph.D.
The authors are with the Department of Family Medicine and Public Health, University of California, San Diego. Send correspondence to Dr. Gilmer (e-mail: [email protected]).
Andrew Sarkin, Ph.D.
The authors are with the Department of Family Medicine and Public Health, University of California, San Diego. Send correspondence to Dr. Gilmer (e-mail: [email protected]).
Todd P. Gilmer, Ph.D.
The authors are with the Department of Family Medicine and Public Health, University of California, San Diego. Send correspondence to Dr. Gilmer (e-mail: [email protected]).

Funding Information

California Tobacco-Related Disease Research Program: 22XT-0020
The authors report no financial relationships with commercial interests.

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