Care Management Intervention to Decrease Psychiatric and Substance Use Disorder Readmissions in Medicaid-Enrolled Adults

The Journal of Behavioral Health Services & Research
Shari L HutchisonDavid Loveland

Abstract

This study examines the generalizability of a successful care management bridging strategy implemented by a behavioral health managed care organization to reduce readmission in psychiatric and substance use disorder (SUD) populations. The sample included 1724 individuals with a psychiatric or SUD hospitalization or detoxification service within 30-days of a prior SUD or inpatient event; 1243 Medicaid-enrolled adults received the intervention plus usual care, and 481 individuals received only usual care. Results included lower readmission to SUD facilities (p = .0012) and reduced odds of readmission among individuals with a SUD event (OR = 0.49, p = .0006) for the intervention versus the comparison group. Likelihood of readmission was higher for those with dual diagnoses (OR = 1.72, p = .0002) or in urban settings (OR = 1.47, p = .0010), with some evidence of the intervention's success in these populations. Care management bridging strategies may be more effective for individuals who utilize SUD services and others who need help navigating complex systems of care.

References

Jul 14, 1998·Psychiatric Services : a Journal of the American Psychiatric Association·M OlfsonS Hansell
Apr 5, 2000·The Journal of Nervous and Mental Disease·D HermanE Susser
Nov 25, 2003·Psychiatry and Clinical Neurosciences·Yuriko SuzukiKoichi Otani
Apr 18, 2007·The Journal of Behavioral Health Services & Research·Janet DurbinMoira Teed
Jun 2, 2007·The Journal of Primary Prevention·Daniel HermanDanika Mills
Sep 2, 2008·Psychiatric Services : a Journal of the American Psychiatric Association·Mark A IlgenJohn McKellar
Nov 15, 2008·American Journal of Public Health·Jonathan D PrinceStephen Crystal
Jan 20, 2009·Journal of Substance Abuse Treatment·C Patrick CarrollFrancis M Mondimore
Apr 3, 2009·Psychiatric Services : a Journal of the American Psychiatric Association·Lisa DixonWendy Potts
Jun 23, 2009·Journal of Substance Abuse Treatment·Maria C RavenMarc N Gourevitch
Mar 23, 2011·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Susan R Jacob, Zoila V Sánchez
Feb 23, 2013·The Journal of Behavioral Health Services & Research·Tami MarkShelagh Smith
Mar 5, 2013·The British Journal of Psychiatry : the Journal of Mental Science·Simone N VigodDallas P Seitz
Aug 16, 2013·Psychiatric Services : a Journal of the American Psychiatric Association·Timothy L BoazMirko Sikirica
Mar 15, 2014·The Journal of Behavioral Health Services & Research·Carole TaylorLauren Terhorst
Dec 23, 2014·Journal of Substance Abuse Treatment·Christine TimkoMichael A Cucciare
Jan 8, 2015·Community Mental Health Journal·Mark W SmithPatricia B Santora
May 15, 2015·The Journal of Nervous and Mental Disease·Kim LorineArmen K Goenjian
Aug 4, 2015·Psychiatric Services : a Journal of the American Psychiatric Association·Sherry L ShafferLauren Terhorst
Aug 27, 2015·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Andrea AcevedoConstance Horgan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Psychiatric Services : a Journal of the American Psychiatric Association
Sherry L ShafferLauren Terhorst
Psychiatric Services : a Journal of the American Psychiatric Association
Bradley D SteinShari L Hutchinson
© 2022 Meta ULC. All rights reserved