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dc.contributor.authorHugunin, Julie
dc.contributor.authorDavis, Maryann
dc.contributor.authorLarkin, Celine
dc.contributor.authorBaek, Jonggyu
dc.contributor.authorSkehan, Brian
dc.contributor.authorLapane, Kate L
dc.date.accessioned2023-02-02T20:40:59Z
dc.date.available2023-02-02T20:40:59Z
dc.date.issued2022-10-12
dc.identifier.citationHugunin 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.en_US
dc.identifier.eissn1557-9700
dc.identifier.doi10.1176/appi.ps.202200047en_US
dc.identifier.pmid36223162
dc.identifier.urihttp://hdl.handle.net/20.500.14038/51638
dc.description.abstractObjective: 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.en_US
dc.language.isoenen_US
dc.relation.ispartofPsychiatric Servicesen_US
dc.relation.urlhttps://doi.org/10.1176/appi.ps.202200047en_US
dc.subjectAcute careen_US
dc.subjectAdolescents/adolescenceen_US
dc.subjectHospitalizationen_US
dc.subjectMental healthen_US
dc.subjectPrimary careen_US
dc.subjectQuality of careen_US
dc.subjectUMCCTS fundingen_US
dc.titleEstablished Outpatient Care and Follow-Up After Acute Psychiatric Service Use Among Youths and Young Adultsen_US
dc.typeJournal Articleen_US
dc.source.journaltitlePsychiatric services (Washington, D.C.)
dc.source.volume74
dc.source.issue1
dc.source.beginpage2
dc.source.endpage9
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.identifier.journalPsychiatric services (Washington, D.C.)
dc.contributor.departmentEmergency Medicineen_US
dc.contributor.departmentMorningside Graduate School of Biomedical Sciencesen_US
dc.contributor.departmentPediatricsen_US
dc.contributor.departmentPopulation and Quantitative Health Sciencesen_US
dc.contributor.departmentPsychiatryen_US
dc.contributor.departmentBiostatistics and Health Services Researchen_US


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