The relationship between community resources and state hospital recidivism
UMass Chan Affiliations
Department of PsychiatryDocument Type
Journal ArticlePublication Date
1992-03-01Keywords
Community Mental Health ServicesDeinstitutionalization
Financing, Government
Health Expenditures
Hospitals, Psychiatric
Hospitals, State
Humans
Longitudinal Studies
Massachusetts
Mental Disorders
Patient Readmission
Survival Analysis
Utilization Review
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
OBJECTIVE: The authors examined the propositions that a revolving state hospital door is an inevitable consequence of deinstitutionalization and that enhancing resources for community-based care can limit this phenomenon. METHOD: They analyzed the recidivism patterns of state hospital patients in a region of Massachusetts where, because of a federal court consent decree, the level of funding for community programs was more than twice as high as it was in other regions in the state and compared the pattern of recidivism in this region with that observed in the other areas of the state. RESULTS: Despite the fact that the average daily state hospital census in the resource-rich region was only half that of the other regions, longitudinal data on hospital use showed that the readmission patterns were similar in all state regions. CONCLUSIONS: The authors suggest that attributes of serious and persistent mental illness may have more effect on hospital readmission patterns than service system variables.Source
Am J Psychiatry. 1992 Mar;149(3):385-90.Permanent Link to this Item
http://hdl.handle.net/20.500.14038/45056PubMed ID
1536279Related Resources
Link to Article in PubMedCollections
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