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Published Online: September 2011

Sleep Problems, Psychiatric Hospitalization, and Emergency Department Use Among Psychiatric Patients With Medicaid

Christopher N. Kaufmann, M.H.S. [email protected], Adam P. Spira, Ph.D. [email protected], Donald S. Rae, M.A., Joyce C. West, Ph.D., M.P.P., and Ramin Mojtabai, M.D., Ph.D. [email protected]Authors Info & Affiliations
Publication: Psychiatric Services
Volume 62, Number 9
https://doi.org/10.1176/ps.62.9.pss6209_1101
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Abstract

Objective:

This study examined the prevalence of sleep problems and their association with the use of inpatient and emergency department services by Medicaid recipients with serious mental illness.

Methods:

The sample consisted of 1,560 psychiatric patients with Medicaid coverage who were identified in a ten-state random survey of psychiatrists. Sleep problems were assessed by clinician ratings.

Results:

Over 75% of the patients experienced a sleep problem, and approximately 50% of these patients had problems that were moderate to severe. Greater sleep problem severity was associated with an increased risk of psychiatric hospitalization and emergency department visits for mental health reasons.

Conclusions:

Sleep problems were highly prevalent among Medicaid patients with serious mental illness and were associated with greater inpatient and emergency mental health service use. More careful monitoring and management of sleep problems in this patient population could address a common clinical need and might help to reduce costly service use. (Psychiatric Services 62:1101–1105, 2011)

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Table 1 Sociodemographic and clinical correlates of sleep problems among psychiatric patients with Medicaid coverage

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: Approaching Thunder Storm, by Martin Johnson Heade, 1859. Oil on canvas, 28 × 44 inches. Gift of Erving Wolf Foundation and Mr. and Mrs. Erving Wolf, 1975. The Metropolitan Museum of Art, New York. Image © The Metropolitan Museum of Art/Art Resource, New York.
Psychiatric Services
Volume 62 • Number 9 • September 2011
Pages: 1101 - 1105
PubMed: 21885593

History

Published in print: September 2011
Published online: 14 January 2015

Authors

Details

Christopher N. Kaufmann, M.H.S. [email protected]
Mr. Kaufmann, Dr. Spira, and Dr. Mojtabai are affiliated with the Johns Hopkins Bloomberg School of Public Health-Mental Health, Hampton House, 624 North Broadway, 8th Floor, Baltimore, MD 21205 (e-mail: [email protected]).
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Adam P. Spira, Ph.D. [email protected]
Mr. Kaufmann, Dr. Spira, and Dr. Mojtabai are affiliated with the Johns Hopkins Bloomberg School of Public Health-Mental Health, Hampton House, 624 North Broadway, 8th Floor, Baltimore, MD 21205 (e-mail: [email protected]).
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Donald S. Rae, M.A.
Mr. Rae and Dr. West are with the American Psychiatric Institute for Research and Education, Arlington, Virginia.
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Joyce C. West, Ph.D., M.P.P.
Mr. Rae and Dr. West are with the American Psychiatric Institute for Research and Education, Arlington, Virginia.
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Ramin Mojtabai, M.D., Ph.D. [email protected]
Mr. Kaufmann, Dr. Spira, and Dr. Mojtabai are affiliated with the Johns Hopkins Bloomberg School of Public Health-Mental Health, Hampton House, 624 North Broadway, 8th Floor, Baltimore, MD 21205 (e-mail: [email protected]).
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