Empirically assessing the impact of mobile crisis capacity on state hospital admissions
Fisher, William H. ; Geller, Jeffrey L. ; Wirth-Cauchon, J.
Citations
Student Authors
Faculty Advisor
Academic Program
UMass Chan Affiliations
Document Type
Publication Date
Keywords
Catchment Area (Health)
Emergency Services, Psychiatric
Hospitals, Psychiatric
Hospitals, Public
Hospitals, State
Humans
Massachusetts
*Mobile Health Units
Patient Admission
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
Subject Area
Embargo Expiration Date
Link to Full Text
Abstract
The literature on emergency psychiatric services contains numerous claims to the effect that mobile crisis capacity reduced hospitalization by resolving emergencies in the community. To date these claims have not been substantiated by empirical analysis. This study, using 1986 data from Massachusetts, compares first and total admission rates of catchment areas with mobile capacity to those without such services, controlling for differences in community resources and demand for hospitalization. This analysis showed no effect of mobile capacity on admission rates. These findings are not interpreted as evidence of the ineffectiveness of mobile services, but are seen as indicative of the need for further empirical investigation of these services.
Source
Community Ment Health J. 1990 Jun;26(3):245-53.