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Decertification Outcomes for Bipolar Disorder in an Inpatient Community Mental Health Treatment Center: Impact on Subsequent Service Use Over Two Years

Abstract  

This study investigated differences in usage of inpatient and outpatient mental health services over a 2-year period following
the index hospitalization between 50 decertified and 48 certified subjects with bipolar manic or mixed episode from an inpatient
mental health treatment center. The decertified group had higher number of rehospitalization over the 2-year period compared
to certified group (mean = 2.26, SE = 0.41 vs. mean = 1.19, SE = 0.24; Wald χ
2 = 5.50, p = 0.02). Median time to first rehospitalization was 40 weeks in the certified and 17 weeks in the decertified group, but
the difference in time to rehospitalization failed to achieve statistical significance (p = 0.18). History of prior hospitalization was associated with higher numbers of rehospitalizations and crisis room visits
(both p < 0.01) and with shorter time before first rehospitalization (p < 0.001).

  • Content Type Journal Article
  • Category Brief Report
  • Pages 1-4
  • DOI 10.1007/s10597-012-9481-6
  • Authors
    • Glen L. Xiong, Department of Psychiatry and Behavioral Sciences, University of California at Davis, Davis, CA, USA
    • Ana-Maria Iosiff, Deparment of Public Health Sciences, University of California at Davis, Davis, CA, USA
    • Michael Brooks, Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicagoo, IL, USA
    • Charles L. Scott, Division of Psychiatry and Law, Department of Psychiatry and Behavioral Sciences, University of California at Davis, Davis, CA, USA
    • Donald M. Hilty, Department of Psychiatry and Behavioral Sciences, University of California at Davis, Davis, CA, USA
    • Journal Community Mental Health Journal
    • Online ISSN 1573-2789
    • Print ISSN 0010-3853
Posted in: Journal Article Abstracts on 01/27/2012 | Link to this post on IFP |
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