Decertification outcomes for bipolar disorder in an inpatient community mental health treatment center: Impact on subsequent service use over two years

Glen L. Xiong*, Ana Maria Iosiff, Michael Brooks, Charles L. Scott, Donald M. Hilty

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

This study investigated differences in usage of inpatient and outpatient mental health services over a 2-year period following the index hospitalization between 50 decertified and 48 certified subjects with bipolar manic or mixed episode from an inpatient mental health treatment center. The decertified group had higher number of rehospitalization over the 2-year period compared to certified group (mean = 2.26, SE = 0.41 vs. mean = 1.19, SE = 0.24; Wald χ2 = 5.50, p = 0.02). Median time to first rehospitalization was 40 weeks in the certified and 17 weeks in the decertified group, but the difference in time to rehospitalization failed to achieve statistical significance (p = 0.18). History of prior hospitalization was associated with higher numbers of rehospitalizations and crisis room visits (both p<0.01) and with shorter time before first rehospitalization (p<0.001).

Original languageEnglish (US)
Pages (from-to)761-764
Number of pages4
JournalCommunity Mental Health Journal
Volume48
Issue number6
DOIs
StatePublished - Jan 1 2012

Fingerprint

Community Mental Health Centers
Bipolar Disorder
Inpatients
mental health
hospitalization
Hospitalization
community
Group
statistical significance
Mental Health Services
Ambulatory Care
Mental Health
health service
Therapeutics
time

Keywords

  • Bipolar disorder
  • Decertification
  • Discharge against medical advice
  • Involuntary treatment

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

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abstract = "This study investigated differences in usage of inpatient and outpatient mental health services over a 2-year period following the index hospitalization between 50 decertified and 48 certified subjects with bipolar manic or mixed episode from an inpatient mental health treatment center. The decertified group had higher number of rehospitalization over the 2-year period compared to certified group (mean = 2.26, SE = 0.41 vs. mean = 1.19, SE = 0.24; Wald χ2 = 5.50, p = 0.02). Median time to first rehospitalization was 40 weeks in the certified and 17 weeks in the decertified group, but the difference in time to rehospitalization failed to achieve statistical significance (p = 0.18). History of prior hospitalization was associated with higher numbers of rehospitalizations and crisis room visits (both p<0.01) and with shorter time before first rehospitalization (p<0.001).",
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Decertification outcomes for bipolar disorder in an inpatient community mental health treatment center : Impact on subsequent service use over two years. / Xiong, Glen L.; Iosiff, Ana Maria; Brooks, Michael; Scott, Charles L.; Hilty, Donald M.

In: Community Mental Health Journal, Vol. 48, No. 6, 01.01.2012, p. 761-764.

Research output: Contribution to journalArticle

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AU - Iosiff, Ana Maria

AU - Brooks, Michael

AU - Scott, Charles L.

AU - Hilty, Donald M.

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