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Community Mental Health Journal

Erschienen in:

01.02.2015 | Original Paper

Adult General Psychiatric Patients Served in Nebraska’s State Hospitals: Patient Characteristics and Needs

verfasst von: Shinobu Watanabe-Galloway, Kate Watkins, Steve Ryan, Jim Harvey, Blaine Shaffer

Erschienen in: Community Mental Health Journal | Ausgabe 2/2015

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Abstract

This study identified the characteristics and needs of adults discharged from state psychiatric hospitals. A retrospective analysis of data on patients discharged from adult psychiatric units of three state psychiatric hospitals in Nebraska 2005–2008 was conducted. Diagnoses were classified into six groups, and Axis III data from the state psychiatric hospitals provided information about medical comorbidity. Only 12 % of admitted patients had private insurance or could pay for their own treatment. Almost all discharged patients (95 %) had a diagnosis of serious mental illness, and substance abuse (68 %) and personality disorder (68 %) were common, as were significant general health problems. Fourteen percent of patients used emergency services five or more times during the study period. Greater efforts must be made to diagnose, treat, and monitor major somatic illnesses and to better understand the factors that contribute to readmission and emergency service use in this population.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Text Revision (DSM-IV-TR). Washington, DC: Author.

Baillargeon, J., Thomas, C. R., Williams, B., Begley, C. E., Sharma, S., & Pollack, B. H. (2008). Medical emergency department utilization patterns among uninsured patients with psychiatric disorders. Psychiatric Services, 59, 808–811.PubMedCrossRef

Bhui, K., Shanahan, L., & Harding, G. (2006). Homelessness and mental illness: A literature review and a qualitative study of perceptions of the adequacy of care. International Journal of Social Psychiatry, 52, 152–165.PubMedCrossRef

Callaly, T., Trauer, T., Hyland, M., Coombs, T., & Berk, M. (2011). An examination of risk factors for readmission to acute adult mental health services within 28 days of discharge in the Australian setting. Australasian Psychiatry, 19, 221–225.PubMedCrossRef

Chaput, Y. J. A., & Lebel, M. (2007). Demographic and clinical profiles of patients who make multiple visits to psychiatric emergency services. Psychiatric Services, 58, 335–341.PubMedCrossRef

Claassen, C. A., Michael Kashner, T., Gilfillan, S. K., Larkin, G. L., & John Rush, A. (2005). Psychiatric emergency service use after implementation of managed care in a public mental health system. Psychiatric Services, 56, 691–698.PubMedCrossRef

Fisher, W. H., Geller, J. L., & Pandiani, J. A. (2009). The changing role of the state psychiatric hospital. Health Affairs (Project Hope), 28, 676–684.CrossRef

Klinkenberg, W. D., & Calsyn, R. J. (1996). Predictors of receipt of aftercare and recidivism among persons with severe mental illness: A review. Psychiatric Services, 47, 487–496.PubMedCrossRef

Manderscheid, R. W., Atay, J. E., & Crider, R. A. (2009). Changing trends in state psychiatric hospital use from 2002 to 2005. Psychiatric Services, 60, 29–34.PubMedCrossRef

Merrick, E. L., Perloff, J., & Tompkins, C. P. (2010). Emergency department utilization patterns for Medicare beneficiaries with serious mental disorders. Psychiatric Services, 61, 628–631.PubMedCrossRef

National Association of State Mental Health Program Directors Research Institute. (2010). Nebraska 2010 mental health national outcome measures (NOMS): CMHS uniform reporting system. Alexandria, VA: Author.

National Association of State Mental Health Program Directors Research Institute, Inc. (2006). State psychiatric hospitals: 2006 (State Profile Highlights No. 06-4). Alexandria, VA: Author.

Nebraska Department of Health and Human Services, Division of Behavioral Health. (2009). Nebraska—2010 combined behavioral health assessment and plan. Lincoln, NE: Author.

Nebraska Department of Health and Human Services, Division of Behavioral Health. (2011). DHHS-DBH 2011 behavioral health consumer survey: Summary of results. Lincoln, NE: Author.

Parks, J., Svendsen, D., Singer, P., & Foti, M. E. (Eds.); Mauer, B., (Technical Writer). (2006). Morbidity and mortality in people with serious mental illness. Alexandria, VA: National Association of State Mental Health Program Directors Medical Directors Council.

Pasic, J., Russo, J., & Roy-Byrne, P. (2005). High utilizers of psychiatric emergency services. Psychiatric Services, 56, 678–684.PubMedCrossRef

Sharfstein, S. S., & Dickerson, F. B. (2009). Hospital psychiatry for the twenty-first century. Health Affairs (Project Hope), 28, 685–688.CrossRef

Subica, A. M., Claypoole, K. H., & Wylie, A. M. (2012). PTSD’S mediation of the relationships between trauma, depression, substance abuse, mental health, and physical health in individuals with severe mental illness: Evaluating a comprehensive model. Schizophrenia Research, 136, 104–109.PubMedCrossRef

Substance Abuse and Mental Health Services Administration. (2010). Mental health, United States, 2008 (HHS Publication No. [SMA] 10-4590). Rockville, MD: Author.

Substance Abuse and Mental Health Services Administration. (2011). 2011 CMHS uniform reporting system output tables. Nebraska 2011 mental health national outcome measures (NOMS): CMHS uniform reporting system. Rockville, MD: Author.

Thompson, E. E., Neighbors, H. W., Munday, C., & Trierweiler, S. (2003). Length of stay, referral to aftercare, and rehospitalization among psychiatric inpatients. Psychiatric Services, 54, 1271–1276.PubMedCrossRef

U.S. Census Bureau. (2002). Nebraska 2000: Census 2000 Profile: 1–5.

Yanos, P. T., Lu, W., Minsky, S., & Kiely, G. L. (2004). Correlates of health insurance among persons with schizophrenia in a statewide behavioral health care system. Psychiatric Services, 55, 79–82.PubMedCrossRef

Titel: Adult General Psychiatric Patients Served in Nebraska’s State Hospitals: Patient Characteristics and Needs
verfasst von: Shinobu Watanabe-Galloway
Kate Watkins
Steve Ryan
Jim Harvey
Blaine Shaffer
Publikationsdatum: 01.02.2015
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 2/2015
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-014-9727-6

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