Reinstitutionalization following psychiatric discharge among VA patients with serious mental illness: a national longitudinal study.

Reinstitutionalization following psychiatric discharge among VA patients with serious mental illness: a national longitudinal study. Research Abstract Details 

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Reinstitutionalization following psychiatric discharge among VA patients with serious mental illness: a national longitudinal study. Abstract Text:

Cheryl Irmiter,John F McCarthy,Kristen L Barry,Soheil Soliman,Frederic C Blow,Cheryl Irmiter,John F McCarthy,Kristen L Barry,Soheil Soliman,Frederic C Blow,

Patterns of reinstitutionalization following psychiatric hospitalization for individuals with serious mental illnesses (SMI) vary by medical and psychiatric health care settings. This report presents rates of reinstitutionalization across care settings for 35,527 patients following psychiatric discharge in the Department of Veterans Affairs (VA) health system, a national health care system. Over a 7-year follow-up period, 30,417 patients (86%) were reinstitutionalized. Among these patients, 73% were initially reinstitutionalized to inpatient psychiatric settings. Homelessness, medical morbidity, and substance use were associated with increased risks for reinstitutionalization. Despite the VA's increased emphasis on outpatient services delivery, the vast majority of patients experienced reinstitutionalization in the follow-up period. Study findings may inform efforts to refine psychiatric and medical assessment for service delivery for this vulnerable population.

Reinstitutionalization following psychiatric discharge among VA patients with serious mental illness: a national longitudinal study. Publishing Authors By Initials

C Irmiter,JF McCarthy,KL Barry,S Soliman,FC Blow,C Irmiter,JF McCarthy,KL Barry,S Soliman,FC Blow,

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Reinstitutionalization following psychiatric discharge among VA patients with serious mental illness: a national longitudinal study. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The Psychiatric quarterly

VOLUME: 78

Page Numbers: 279-86

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ISSN: 0033-2720

DAY: 25

MONTH: Dec

YEAR: 2007

Reinstitutionalization following psychiatric discharge among VA patients with serious mental illness: a national longitudinal study. Information

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LANGUAGE: eng

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AFFILIATION: Department of Psychiatry, Mental Health Services, Outcomes, and Translation Section, University of Michigan, 4250 Plymouth Road, Box 5765, Ann Arbor, MI 48109, USA. cheryli@med.umich.edu

Country: United States

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MEDLINETA: Psychiatr Q

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