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Pathway Home™ for High Utilizers of Psychiatric Inpatient Services: Impact on Inpatient Days and Outpatient Engagement.
- Source :
-
Community Mental Health Journal . Apr2022, Vol. 58 Issue 3, p415-419. 5p. 1 Graph. - Publication Year :
- 2022
-
Abstract
- Objective: This study examined the impact of Pathway Home™ (PH) transition services for high utilizers of psychiatric hospitalization on inpatient days and outpatient engagement post-hospital discharge. Methods: This case series study of forty PH graduates (5/22/2015–8/31/2018) used Medicaid claims to assess psychiatric inpatient days-per-month, average proportion of months with psychiatric emergency room, outpatient, and health home care management services. T-tests compared three time periods: the year prior, during, and after enrollment. Results: Graduates had significantly fewer psychiatric inpatient days/month during (M = 1.84, p < 0.001) and after PH enrollment (M = 1.88, p < 0.001) compared to prior to enrollment (M = 7.1), while emergency services were stable. Outpatient visits increased from 45% prior to 76% during enrollment (p < 0.001) and was sustained on follow-up (67%, p = 0.008). A similar pattern emerged for health home services (32%, 60%, and 50%). Conclusion: PH is a promising approach for improving outcomes for high utilizers of psychiatric inpatient services, with sustained impact on follow-up. [ABSTRACT FROM AUTHOR]
- Subjects :
- *LENGTH of stay in hospitals
*PATIENT participation
*EVALUATION of human services programs
*HOSPITAL emergency services
*TRANSITIONAL care
*HOME care services
*HOSPITAL health promotion programs
*MEDICAL care use
*T-test (Statistics)
*HOSPITAL care
*DESCRIPTIVE statistics
*PSYCHIATRIC hospitals
*OUTPATIENT services in hospitals
*DISCHARGE planning
*MENTAL health services
Subjects
Details
- Language :
- English
- ISSN :
- 00103853
- Volume :
- 58
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Community Mental Health Journal
- Publication Type :
- Academic Journal
- Accession number :
- 155379002
- Full Text :
- https://doi.org/10.1007/s10597-021-00902-w