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Published Online: 15 November 2017

All-Cause, 30-Day Readmissions Among Persons With Intellectual and Developmental Disabilities and Mental Illness

Robert Balogh, Ph.D., B.H.Sc.(P.T.) [email protected], Elizabeth Lin, Ph.D., Kristin Dobranowski, M.H.Sc., Avra Selick, M.A., Andrew S. Wilton, M.Sc., and Yona Lunsky, Ph.D., C.Psych.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 69, Number 3
https://doi.org/10.1176/appi.ps.201600534
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Abstract

Objective:

Early hospital readmissions within 30 days of discharge are common and costly. This research describes predictors of all-cause, 30-day hospital readmissions among persons with intellectual and developmental disabilities (IDD), a group known to experience high rates of hospitalization.

Methods:

A cohort of 66,484 adults with IDD from Ontario, Canada, was used to create two subgroups: individuals with IDD only and those with IDD and mental illness. The rates of hospital readmission were determined and contrasted with a comparison subgroup of people without IDD who have mental illness.

Results:

Compared with those with mental illness only, individuals with IDD and mental illness were 1.7 times more likely to experience a hospital readmission within 30 days. Predictors of their readmission rates included being a young adult and having high morbidity levels.

Conclusions:

The high rate of hospital readmission suggests that individuals with IDD and mental illness need attention regarding discharge planning and outpatient follow-up.

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Information & Authors

Information

Published In

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Cover: Flying Geese, by Felix Bracquemond, 19th century. Black chalk, brush, and watercolor, highlighted with white gouache. Museum purchase, Davis Museum, Welleseley College. Photo credit: Davis Museum/Art Resource, New York City.

Psychiatric Services
Volume 69 • Number 3 • March 01, 2018
Pages: 353 - 357
PubMed: 29137556

History

Received: 22 November 2016
Revision received: 19 April 2017
Revision received: 11 July 2017
Accepted: 25 August 2017
Published online: 15 November 2017
Published in print: March 01, 2018

Keywords

  1. intellectual disabilities
  2. developmental disabilities
  3. mental illness
  4. hospitalization
  5. patient readmission

Authors

Details

Robert Balogh, Ph.D., B.H.Sc.(P.T.) [email protected]
Dr. Balogh and Ms. Dobranowski are with the University of Ontario Institute of Technology, Oshawa, Ontario, Canada. Dr. Lin, Ms. Selick, and Dr. Lunsky are with the Centre for Addiction and Mental Health, Toronto. Mr. Wilton is with the Institute for Clinical Evaluative Sciences, Toronto.
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Elizabeth Lin, Ph.D.
Dr. Balogh and Ms. Dobranowski are with the University of Ontario Institute of Technology, Oshawa, Ontario, Canada. Dr. Lin, Ms. Selick, and Dr. Lunsky are with the Centre for Addiction and Mental Health, Toronto. Mr. Wilton is with the Institute for Clinical Evaluative Sciences, Toronto.
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Kristin Dobranowski, M.H.Sc.
Dr. Balogh and Ms. Dobranowski are with the University of Ontario Institute of Technology, Oshawa, Ontario, Canada. Dr. Lin, Ms. Selick, and Dr. Lunsky are with the Centre for Addiction and Mental Health, Toronto. Mr. Wilton is with the Institute for Clinical Evaluative Sciences, Toronto.
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Avra Selick, M.A.
Dr. Balogh and Ms. Dobranowski are with the University of Ontario Institute of Technology, Oshawa, Ontario, Canada. Dr. Lin, Ms. Selick, and Dr. Lunsky are with the Centre for Addiction and Mental Health, Toronto. Mr. Wilton is with the Institute for Clinical Evaluative Sciences, Toronto.
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Andrew S. Wilton, M.Sc.
Dr. Balogh and Ms. Dobranowski are with the University of Ontario Institute of Technology, Oshawa, Ontario, Canada. Dr. Lin, Ms. Selick, and Dr. Lunsky are with the Centre for Addiction and Mental Health, Toronto. Mr. Wilton is with the Institute for Clinical Evaluative Sciences, Toronto.
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Yona Lunsky, Ph.D., C.Psych.
Dr. Balogh and Ms. Dobranowski are with the University of Ontario Institute of Technology, Oshawa, Ontario, Canada. Dr. Lin, Ms. Selick, and Dr. Lunsky are with the Centre for Addiction and Mental Health, Toronto. Mr. Wilton is with the Institute for Clinical Evaluative Sciences, Toronto.
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Notes

Send correspondence to Dr. Balogh (e-mail: [email protected]).
Data from this report were presented at the Ontario Shores Mental Health Conference, March 1–2, 2016, Whitby, Ontario, Canada.

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

Ministry of Health and Long-Term Care (MOHLTC) Health System Research Fund (HSRF)
This study was supported by the Province of Ontario through its research grants program, the Canadian Institutes of Health Research (CIHR) (PHE 103973), and the Institute for Clinical Evaluative Sciences (ICES), which is funded by an annual grant from the Ontario Ministry of Health and Long-Term Care (MOHLTC). The Johns Hopkins ACG system, version 7, was used for this research.

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