Title

A report on the "worst" state hospital recidivists in the U.S

UMMS Affiliation

Department of Psychiatry

Date

9-1-1992

Document Type

Article

Medical Subject Headings

Adult; Bipolar Disorder; Cross-Sectional Studies; Female; Hospitals, Psychiatric; Hospitals, State; Humans; Incidence; Male; Middle Aged; Patient Readmission; Personality Disorders; Psychotic Disorders; Recurrence; Schizophrenia; Schizophrenic Psychology; United States

Disciplines

Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology

Abstract

A total of 196 nonspecialty state hospitals in the U.S. each identified one patient--referred to as the hospital's "worst" recidivist--admitted to the hospital in 1987 who had the most lifetime admissions to that hospital. Persons admitted for mental retardation or substance abuse detoxification were excluded. The mean age of the recidivists was 42.2 years; their mean age at first admission was 24.7. The number of admissions per patient ranged from five to 121, with a mean of 31. Compared with the national population of state hospital admissions, significantly larger proportions of recidivists had diagnoses of schizophrenia, bipolar disorder, and personality disorder. More research is needed to determine actual community tenure of patients who receive revolving-door care and whether alternative approaches would be more effective.

Rights and Permissions

Citation: Hosp Community Psychiatry. 1992 Sep;43(9):904-8.

Related Resources

Link to Article in PubMed

PubMed ID

1427698