Outpatient utilization patterns and quality outcomes after first acute episode of mental health hospitalization. Is some better than none, and is more service associated with better outcomes?

Abstract:

:Access to outpatient services within the first 30 days after an inpatient mental health episode may influence relapse risk. A retrospective cohort of 3,755 adult Medicaid mental health inpatients discharged from their first managed care acute episode of care from July 1, 1996, through May 20, 1998, were studied. Results showed patients' utilization of any psychotherapy (OR = .43), medication management (OR = .41), or diagnostic evaluation services (OR = .61), relative to no utilization, was associated with significantly lower 30-day readmission rates, and longer times in remission. However, patients receiving above the median total number of ambulatory services, or having contact with more providers showed significantly greater likelihood of 30-day readmission, and shorter time in remission. Findings heighten the need for the availability of timely risk-reducing mental health outpatient services, the continuity and risk of fragmentation of therapeutic relationships, as well as crisis planning before an inpatient discharge.

journal_name

Eval Health Prof

authors

Huff ED

doi

10.1177/01632780022034714

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

441-56

issue

4

eissn

0163-2787

issn

1552-3918

journal_volume

23

pub_type

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