Literature DB >> 30284090

Clinical Predictors of Delayed Discharges in Inpatient Mental Health Settings Across Ontario.

Jerrica Little1, John P Hirdes2, Christopher M Perlman2, Samantha B Meyer2.   

Abstract

Delayed discharges constitute an ongoing issue in psychiatric facilities. This study examined clinical predictors of 30-day delayed discharges in all designated inpatient mental health units within Ontario, Canada. Data for 76,184 inpatient episodes were obtained from 68 psychiatric facilities between 2011 and 2013. Risk factors for delayed discharges were analyzed using multivariate logistic regression. Indicators of functional, social, and cognitive impairment positively predicted delayed discharges, while symptoms of mental illness were inversely related. Policy makers and mental health care practitioners may utilize early predictors of delayed discharges to introduce treatment interventions and policies that reduce the risk of delays in mental health settings.

Entities:  

Keywords:  Alternate level of care; Delayed discharge; Inpatient mental health; InterRAI; Psychiatric hospital

Year:  2019        PMID: 30284090      PMCID: PMC6327079          DOI: 10.1007/s10488-018-0898-2

Source DB:  PubMed          Journal:  Adm Policy Ment Health        ISSN: 0894-587X


  25 in total

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Authors:  Noam Trieman; Julian Leff
Journal:  Br J Psychiatry       Date:  2002-11       Impact factor: 9.319

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Authors:  Jennifer M Park; Lawrence T Park; Caleb J Siefert; Melissa E Abraham; Christine R Fry; Mark S Silvert
Journal:  J Behav Health Serv Res       Date:  2008-12-17       Impact factor: 1.505

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Journal:  Can J Psychiatry       Date:  1998-06       Impact factor: 4.356

7.  Factors associated with discharge of long-term inpatients with schizophrenia in Japan: a retrospective study.

Authors:  Tetsuya Tanioka; Shinichi Chiba; Yumiko Onishi; Mika Kataoka; Ai Kawamura; Masahito Tomotake; Christine L Williams; Yuko Yasuhara; Kazushi Mifune
Journal:  Issues Ment Health Nurs       Date:  2013-04       Impact factor: 1.835

8.  Delayed discharges in an urban in-patient mental health service in England.

Authors:  Rob Poole; Alison Pearsall; Tony Ryan
Journal:  Psychiatr Bull (2014)       Date:  2014-04

9.  Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system.

Authors:  John P Hirdes; Gunnar Ljunggren; John N Morris; Dinnus H M Frijters; Harriet Finne Soveri; Len Gray; Magnus Björkgren; Reudi Gilgen
Journal:  BMC Health Serv Res       Date:  2008-12-30       Impact factor: 2.655

10.  Scaling functional status within the interRAI suite of assessment instruments.

Authors:  John N Morris; Katherine Berg; Brant E Fries; Knight Steel; Elizabeth P Howard
Journal:  BMC Geriatr       Date:  2013-11-21       Impact factor: 3.921

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  1 in total

1.  Predicting Housing Related Delayed Discharge from Mental Health Inpatient Units: A Case Control Study.

Authors:  Anne Honey; Karen Arblaster; Jenny Nguyen; Robert Heard
Journal:  Adm Policy Ment Health       Date:  2022-07-21
  1 in total

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