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The Role of Psychometric Data in Predicting Inpatient Mental Health Service Utilization
Abstract
Inpatient mental health readmission rates have increased dramatically in recent years, with a subset of consumers referred to as revolving-door patients. In an effort to reduce the financial burden associated with these patients and increase treatment efficacy, researchers have begun to explore factors associated with increased service utilization. To date, predictors of increased service usage are remarkably discrepant across studies. Further exploration, therefore, is needed to better explicate the relevance of "traditional" predictors and also to identify alternate strategies that may assist in predicting rehospitalization. One method that may be helpful in identifying patients at high risk is the development of a psychometric screening procedure. As a means to this end, the present study was designed to assess the potential usefulness of psychometric data in predicting mental health service utilization. The sample consisted of 131 patients hospitalized during an index period of 8 months at an acute-care psychiatric hospital. Number of readmissions was recorded in a 9 month post-index period. Measures completed during the index admission included the Brief Psychiatric Rating Scale-Anchored (BPRS-A), Symptom Checklist-90-Revised (SCL-90-R), Kaufman Brief Intelligence Test (K-BIT), and the Beck Depression Inventory (BDI). Results indicated that psychometric data accounted for significant variance in predicting past, present and future mental health service utilization. The B…
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Associations between length of stay and demographic information (e.g., sex, marital status, homelessness) have been noted in several studies, but findings are mixed.
“Associations between LOS and demographic information (e.g., sex, marital status, 76 homelessness) were also noted in several studies but findings are mixed (Averill et al., 77 2001; Cohen and Casimir, 1989; Warnke and Rossler, 2008).”
From Time in treatment: Examining mental illness trajectories across inpatient psychiatric treatment (2020) · cites this paper as Averill et al., 2001
A previous study reported that longer LOS was associated with sex (i.e., females).
“a previous study reported that longer LOS was associated with sex (i.e., females) (Averill et al., 2001).”
From Time in treatment: Examining mental illness trajectories across inpatient psychiatric treatment (2020) · cites this paper as Averill et al., 2001
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Metadata
- Authors
- Averill, P. M., Hopko, D. R., Small, D. R., Greenlee, H. B., & Varner, R. V.
- Venue
- Psychiatric Quarterly
- Published
- 2001-09
- Volume
- 72
- Issue
- 3
- Pages
- 215-235
- ISSN
- 0033-2720 (ISSN-L)
- 1573-6709
- OpenAlex
- W69430709
- Cited by
- 29
- References
- 59
- Citations by year
- 2022: 2 · 2020: 1 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 5 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Psychiatric Quarterly (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- psychiatric readmission, psychometric screening, risk prediction, SCL-90-R, Beck Depression Inventory, Kaufman Brief Intelligence Test, patient-treatment matching, discharge planning
- MeSH terms
- Adult, Mental Disorders, Female, Hospitals, Psychiatric, Humans, Male, Middle Aged, Patient Readmission, Psychiatric Status Rating Scales, Psychometrics, Texas, Utilization Review
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