Abstract
Objective: The aim of this study was to ascertain trends from 1995 to 2002 in general hospital discharges among adults in the United States with serious mental illness. Methods: As of 2002 the National Hospital Discharge Survey collected data on approximately 327,000 discharges from 445 hospitals. ICD-9-CM codes were used to identify the discharges between 1995 and 2002 associated with serious mental illness. Results: Annual discharge rates involving serious mental illness increased by 34.7%, from 29.1 discharges per 10,000 in the U.S. adult population (18 years and older) in 1995 to 39.2 discharges per 10,000 in the U.S. adult population in 2002. Hospital discharges involving serious mental illness increased significantly in the black population and among young adults. For adults of ages 18 to 24, discharges per 10,000 increased from 19.9 in 1995 to 42.3 in 2002. A substantial increasing trend was seen for the Northeast and South census regions. There was an increase in the proportion of discharges associated with hospitalizations for serious mental illness that were covered by private payers, whereas there was a significant decline in such discharges when patients were covered by government programs. Conclusions: The increasing trend in general hospital discharges involving serious mental illness has continued into recent years. Further investigations are needed to understand how patient- and system-level factors have contributed to the increasing trend in general hospital discharges involving an episode of serious mental illness.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 496-502 |
| Number of pages | 7 |
| Journal | Psychiatric Services |
| Volume | 58 |
| Issue number | 4 |
| DOIs | |
| State | Published - Apr 2007 |
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ASJC Scopus subject areas
- Psychiatry and Mental health
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Analysis of U.S. trends in discharges from general hospitals for episodes of serious mental illness, 1995-2002. / Watanabe-Galloway, Shinobu; Zhang, Wanqing.
In: Psychiatric Services, Vol. 58, No. 4, 04.2007, p. 496-502.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Analysis of U.S. trends in discharges from general hospitals for episodes of serious mental illness, 1995-2002
AU - Watanabe-Galloway, Shinobu
AU - Zhang, Wanqing
PY - 2007/4
Y1 - 2007/4
N2 - Objective: The aim of this study was to ascertain trends from 1995 to 2002 in general hospital discharges among adults in the United States with serious mental illness. Methods: As of 2002 the National Hospital Discharge Survey collected data on approximately 327,000 discharges from 445 hospitals. ICD-9-CM codes were used to identify the discharges between 1995 and 2002 associated with serious mental illness. Results: Annual discharge rates involving serious mental illness increased by 34.7%, from 29.1 discharges per 10,000 in the U.S. adult population (18 years and older) in 1995 to 39.2 discharges per 10,000 in the U.S. adult population in 2002. Hospital discharges involving serious mental illness increased significantly in the black population and among young adults. For adults of ages 18 to 24, discharges per 10,000 increased from 19.9 in 1995 to 42.3 in 2002. A substantial increasing trend was seen for the Northeast and South census regions. There was an increase in the proportion of discharges associated with hospitalizations for serious mental illness that were covered by private payers, whereas there was a significant decline in such discharges when patients were covered by government programs. Conclusions: The increasing trend in general hospital discharges involving serious mental illness has continued into recent years. Further investigations are needed to understand how patient- and system-level factors have contributed to the increasing trend in general hospital discharges involving an episode of serious mental illness.
AB - Objective: The aim of this study was to ascertain trends from 1995 to 2002 in general hospital discharges among adults in the United States with serious mental illness. Methods: As of 2002 the National Hospital Discharge Survey collected data on approximately 327,000 discharges from 445 hospitals. ICD-9-CM codes were used to identify the discharges between 1995 and 2002 associated with serious mental illness. Results: Annual discharge rates involving serious mental illness increased by 34.7%, from 29.1 discharges per 10,000 in the U.S. adult population (18 years and older) in 1995 to 39.2 discharges per 10,000 in the U.S. adult population in 2002. Hospital discharges involving serious mental illness increased significantly in the black population and among young adults. For adults of ages 18 to 24, discharges per 10,000 increased from 19.9 in 1995 to 42.3 in 2002. A substantial increasing trend was seen for the Northeast and South census regions. There was an increase in the proportion of discharges associated with hospitalizations for serious mental illness that were covered by private payers, whereas there was a significant decline in such discharges when patients were covered by government programs. Conclusions: The increasing trend in general hospital discharges involving serious mental illness has continued into recent years. Further investigations are needed to understand how patient- and system-level factors have contributed to the increasing trend in general hospital discharges involving an episode of serious mental illness.
UR - http://www.scopus.com/inward/record.url?scp=34247352496&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34247352496&partnerID=8YFLogxK
U2 - 10.1176/ps.2007.58.4.496
DO - 10.1176/ps.2007.58.4.496
M3 - Article
C2 - 17412851
AN - SCOPUS:34247352496
VL - 58
SP - 496
EP - 502
JO - Psychiatric Services
JF - Psychiatric Services
SN - 1075-2730
IS - 4
ER -