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 Profjournal_title
Evaluation & the health professionsauthors
Huff EDdoi
10.1177/01632780022034714subject
Has Abstractpub_date
2000-12-01 00:00:00pages
441-56issue
4eissn
0163-2787issn
1552-3918journal_volume
23pub_type
杂志文章abstract::The gap between evidence-based guidelines for clinical care and their application in medical settings is well established and widely discussed. Effective interventions are needed to help health care providers reduce this gap. Whereas the development of clinical practice guidelines from biomedical and clinical research...
journal_title:Evaluation & the health professions
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journal_title:Evaluation & the health professions
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journal_title:Evaluation & the health professions
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