Predicting length of stay and readmission for psychiatric inpatient youth admitted to adult mental health beds in <scp>O</scp>ntario, <scp>C</scp>anada

Stewart, Shannon L.; Kam, Chester; Baiden, Philip

doi:10.1111/camh.12022

Cited by 32 publications

(29 citation statements)

References 30 publications

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“…A further two studies identified ID as a potential risk factor among other demographic factors rather than assessing ID specifically (Stewart et al . ; Li et al . ).…”

Section: Introductionmentioning

confidence: 99%

Hospital readmissions among older people with intellectual disability in comparison with the general population

Axmon

Björkman²,

Ahlström

2019

J intellect Disabil Res

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BackgroundOlder people with intellectual disability have high multimorbidity and poor physical and mental health compared with the general population. Consequently, they have a greater need for health care. Hospital readmissions may be an indicator of the quality of health care. However, so far, only a few studies have investigated this outcome in populations of people with intellectual disability. None has focused on older people.MethodWe identified a cohort of people with intellectual disability aged 55+ years and alive at the end of 2012 (n = 7936). Moreover, we established a reference cohort from the general population, one‐to‐one matched by sex and year of birth. Data on hospital visits during the period 2002–2012 were collected from the Swedish National Patient Register. Readmissions were defined as unplanned visits with the same diagnosis occurring within 30 days of discharge and with no planned visit for the same diagnosis during this time.ResultsCompared with the general population, people with intellectual disability had increased risk of readmissions for diseases of the nervous system [relative risk (RR) 2.62], respiratory system (RR 1.48), digestive system (RR 1.40) and musculoskeletal system and connective tissue (RR 2.10). Within these diagnostic groups, increased risks were found for arthropathies (RR 3.73), disorders of gallbladder, biliary tract and pancreas (RR 1.78), other diseases of intestines (RR 1.30), and other forms of heart disease (RR 1.23). Decreased risk of readmissions was found for mental and behavioural disorders (RR 0.78) and diseases of the circulatory system (RR 0.64).ConclusionsThe increased risk for readmissions related to diseases of the nervous and musculoskeletal systems has a clear relation to the prevalence of comorbidities in these areas. People with intellectual disability often also have inborn limitations and damages in these systems which with time lead to complications and risk for diseases, which can be difficult to discover. The increased risk for readmissions for disease of the respiratory system, together with the already known increased prevalence of such diagnoses and their occurrence as a cause for death, warrants further investigations and considerations of potential preventive measures. The pattern of readmissions among older people with intellectual disability cannot be explained solely by a higher prevalence of disorders in this group. Our finding of increased risks for readmissions for diseases in the digestive system could be interpreted as communication problems, which sometimes result in too rapid discharges and their consequential early readmissions.

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“…A further two studies identified ID as a potential risk factor among other demographic factors rather than assessing ID specifically (Stewart et al . ; Li et al . ).…”

Section: Introductionmentioning

confidence: 99%

Hospital readmissions among older people with intellectual disability in comparison with the general population

Axmon

Björkman²,

Ahlström

2019

J intellect Disabil Res

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“…Prior studies have found that 25% to 50% of children and youths do not receive aftercare (5,8,9). Furthermore, there is some evidence that those least likely to receive aftercare, including males, older children, those with lower socioeconomic status, and those living in rural areas, are most likely to be readmitted (7)(8)(9)(10)(11)(12)(13)(14)(15)(16).…”

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confidence: 99%

Effects of Outpatient Aftercare on Psychiatric Rehospitalization Among Children and Emerging Adults in Alberta, Canada

Cheng

Chan

Gula

et al. 2017

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“…In addition, the aggregated data compiled as part of regular use can be employed for policy analysis, evaluation and research. Examples of peer-reviewed health services research based on interRAI MH data include: mental health needs of prisoners (264,265); mental health service planning (266); access to psychiatrists by linguistic minorities (267) and nursing home residents (268); use of ECT by psychiatric inpatients (269); prolonged stays (270,271); length of stay (272,273); and restrictions in movement in forensic patients (172). Examples of clinically oriented research with these data include studies of: sexual dysfunction (274,275); incontinence (276,277); discharges against medical advice (229,278); medication non-adherence and misuse (229,279,280); restraint and acute control medication use (281); and pharmacoepidemiological studies (282).…”

Section: Applications Of Interrai Instrumentsmentioning

confidence: 99%

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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The lives of persons living with mental illness are affected by psychological, biological, social, economic, and environmental factors over the life course. It is therefore unlikely that simple preventive strategies, clinical treatments, therapeutic interventions, or policy options will succeed as singular solutions for the challenges of mental illness. Persons living with mental illness receive services and supports in multiple settings across the health care continuum that are often fragmented, uncoordinated, and inadequately responsive. Appropriate assessment is an important tool that health systems must deploy to respond to the strengths, preferences, and needs of persons with mental illness. However, standard approaches are often focused on measurement of psychiatric symptoms without taking a broader perspective to address issues like growth, development, and aging; physical health and disability; social relationships; economic resources; housing; substance use; involvement with criminal justice; stigma; and recovery. Using conglomerations of instruments to cover more domains is impractical, inconsistent, and incomplete while posing considerable assessment burden. interRAI mental health instruments were developed by a network of over 100 researchers, clinicians, and policy experts from over 35 nations. This includes assessment systems for adults in inpatient psychiatry, community mental health, emergency departments, mobile crisis teams, and long-term care settings, as well as a screening system for police officers. A similar set of instruments is available for child/youth mental health. The instruments form an integrated mental health information system because they share a common assessment language, conceptual basis, clinical emphasis, data collection

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Predicting length of stay and readmission for psychiatric inpatient youth admitted to adult mental health beds in Ontario, Canada

Cited by 32 publications

References 30 publications

Hospital readmissions among older people with intellectual disability in comparison with the general population

Hospital readmissions among older people with intellectual disability in comparison with the general population

Effects of Outpatient Aftercare on Psychiatric Rehospitalization Among Children and Emerging Adults in Alberta, Canada

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

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