Abstract
To evaluate the effectiveness of an intensive system of case management for high end users of inpatient care in reducing psychiatric
inpatient utilization. A pre-post study design with a contemporaneous comparison group was employed to determine the effects
of a State designed intervention to reduce inpatient care for adults with a mental health disorder who had high utilization
of inpatient psychiatric care between 2004 and 2007. Logit and negative binomial regression models were used to determine
the likelihood, frequency and total days of inpatient utilization in the post period as a function of the intervention. Data
from administrative reporting forms and Medicaid claims were used to construct inpatient utilization histories and characteristics
of 176 patients. Patients in both groups had a significant reduction in mean inpatient days. However, being in the intervention
program did not result in lower odds of being re-hospitalized or in fewer episodes during the study period.
inpatient utilization. A pre-post study design with a contemporaneous comparison group was employed to determine the effects
of a State designed intervention to reduce inpatient care for adults with a mental health disorder who had high utilization
of inpatient psychiatric care between 2004 and 2007. Logit and negative binomial regression models were used to determine
the likelihood, frequency and total days of inpatient utilization in the post period as a function of the intervention. Data
from administrative reporting forms and Medicaid claims were used to construct inpatient utilization histories and characteristics
of 176 patients. Patients in both groups had a significant reduction in mean inpatient days. However, being in the intervention
program did not result in lower odds of being re-hospitalized or in fewer episodes during the study period.
- Content Type Journal Article
- Category Brief Report
- Pages 1-6
- DOI 10.1007/s10597-012-9479-0
- Authors
- Aileen B. Rothbard, Center for Mental Health Policy and Service Research, 3535 Market St., Room 3014, Philadelphia, PA 19104-2648, USA
- Sumedha Chhatre, Center for Mental Health Policy and Service Research, 3535 Market St., Room 3099, Philadelphia, PA 19104-2648, USA
- Cynthia Zubritsky, Center for Mental Health Policy and Service Research, 3535 Market St., Room 3009, Philadelphia, PA 19104-2648, USA
- Karen Fortuna, Center for Mental Health Policy and Service Research, 3535 Market St., Room 3051, Philadelphia, PA 19104-2648, USA
- Steven Dettwyler, Mental Health Programs, DSAMH/DHSS, Main Administration Building 1901 N. DuPont Hwy., New Castle, DE 19720, USA
- Renata J. Henry, Department of Health and Mental Hygiene, 201 West Preston Street, Baltimore, MD 21201-2301, USA
- Melissa Smith, Division of Substance Abuse and Mental Health, DSAMH/DHSS, Main Administration Building 1901 N. DuPont Hwy., New Castle, DE 19720, USA
- Journal Community Mental Health Journal
- Online ISSN 1573-2789
- Print ISSN 0010-3853