Psychiatric readmissions in a community-based sample of patients with mental disorders
- Author(s): Vijayaraghavan, M
- Messer, K
- Xu, Z
- Sarkin, A
- Gilmer, TP
- et al.
Published Web Locationhttps://doi.org/10.1176/appi.ps.201400092
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.
Many UC-authored scholarly publications are freely available on this site because of the UC Academic Senate's Open Access Policy. Let us know how this access is important for you.