PMID: 9525791Apr 3, 1998Paper

The effects of public managed care on patterns of intensive use of inpatient psychiatric services

Psychiatric Services : a Journal of the American Psychiatric Association
J L GellerJ M Brown

Abstract

The study examined the characteristics of frequent users of inpatient treatment under public-sector managed care in Massachusetts between 1992 and 1995 and explored whether their pattern of inpatient utilization affected their overall use of hospital days. Individuals with five or more admissions in any of four fiscal years (1992 to 1995) were identified using the Massachusetts Department of Mental Health client tracking system. The demographic and clinical characteristics of these patients and the types of hospitals they used were compared with those of all patients in case management programs who had a hospital admission but who did not meet study criteria for multiple admissions. Compared with other patients, patients with multiple admissions were more likely to be young Caucasian females with personality disorder and a history of substance abuse but not a current substance use disorder. They tended to be lower functioning as measured by the Georgia Role Functioning Scale (GRFS) and to have higher levels of distress, as measured by the global personal distress portion of the GRFS. They made up 6 to 8 percent of all clients with a psychiatric admission who were enrolled in a case management program, but they accounted for 21 ...Continue Reading

Citations

Apr 12, 2000·New Directions for Mental Health Services·B H McFarland
May 12, 2005·The Psychiatric Quarterly·Jeffrey L GellerPaul S Appelbaum
Jan 7, 2006·The Psychiatric Quarterly·Jeffrey L Geller
Jul 30, 1999·The Journal of Behavioral Health Services & Research·J H McGrewB A Pescosolido
Jul 30, 1999·The Journal of Behavioral Health Services & Research·J H McGrewE C McDonel
Nov 9, 2012·International nursing review·V MachadoJ Souza
Sep 17, 2013·Asia-Pacific Psychiatry : Official Journal of the Pacific Rim College of Psychiatrists·Yanling ZhouHongbo He
Jul 4, 2006·Journal of Substance Abuse Treatment·Shuo ChenChristine Timko
Oct 26, 1999·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·G E Davis, W E Lowell
Feb 9, 2017·Community Mental Health Journal·Jose Guzman-ParraFermin Mayoral-Cleries

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