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Established Outpatient Care and Follow-Up After Acute Psychiatric Service Use Among Youths and Young Adults
UMass Chan Affiliations
Emergency MedicineMorningside Graduate School of Biomedical Sciences
Pediatrics
Population and Quantitative Health Sciences
Psychiatry
Biostatistics and Health Services Research
Document Type
Journal ArticlePublication Date
2022-10-12Keywords
Acute careAdolescents/adolescence
Hospitalization
Mental health
Primary care
Quality of care
UMCCTS funding
Metadata
Show full item recordAbstract
Objective: This study explored follow-up after hospitalization and emergency room (ER) use for mental health among youths and young adults with private insurance. Methods: The IBM MarketScan commercial database (2013-2018) was used to identify people ages 12-27 with a mental health hospitalization (N=95,153) or ER use (N=108,576). Factors associated with outpatient mental health follow-up within 7 and 30 days of discharge were determined via logistic models with generalized estimating equations that accounted for state variation. Results: Of those hospitalized, 42.7% received follow-up within 7 days (67.4% within 30 days). Of those with ER use, 28.6% received follow-up within 7 days (46.4% within 30 days). Type of established outpatient care predicted follow-up after hospitalization and ER use. Compared with people with no established care, the likelihood of receiving follow-up within 7 days was highest among those with mental health and primary care (hospitalization, adjusted odds ratio [AOR]=2.81, 95% confidence interval [CI]=2.68-2.94; ER use, AOR=4.06, 95% CI=3.72-4.42), followed by those with mental health care only (hospitalization, AOR=2.57, 95% CI=2.45-2.70; ER use, AOR=3.48, 95% CI=3.17-3.82) and those with primary care only (hospitalization, AOR=1.20, 95% CI=1.15-1.26; ER use, AOR=1.22, 95% CI=1.16-1.28). Similar trends were observed within 30 days of discharge. Conclusions: Follow-up rates after acute mental health service use among youths and young adults were suboptimal. Having established mental health care more strongly predicted receiving follow-up than did having established primary care. Improving engagement with outpatient mental health care providers may increase follow-up rates.Source
Hugunin J, Davis M, Larkin C, Baek J, Skehan B, Lapane KL. Established Outpatient Care and Follow-Up After Acute Psychiatric Service Use Among Youths and Young Adults. Psychiatr Serv. 2023 Jan 1;74(1):2-9. doi: 10.1176/appi.ps.202200047. Epub 2022 Oct 12. PMID: 36223162; PMCID: PMC9812848.DOI
10.1176/appi.ps.202200047Permanent Link to this Item
http://hdl.handle.net/20.500.14038/51638PubMed ID
36223162ae974a485f413a2113503eed53cd6c53
10.1176/appi.ps.202200047