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Psychiatric Quarterly
Published in: Psychiatric Quarterly 4/2007

01-12-2007 | Original Paper

Reinstitutionalization Following Psychiatric Discharge among VA Patients with Serious Mental Illness: A National Longitudinal Study

Authors: Cheryl Irmiter, John F. McCarthy, Kristen L. Barry, Soheil Soliman, Frederic C. Blow

Published in: Psychiatric Quarterly | Issue 4/2007

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Abstract

Patterns of reinstitutionalization following psychiatric hospitalization for individuals with serious mental illnesses (SMI) vary by medical and psychiatric health care settings. This report presents rates of reinstitutionalization across care settings for 35,527 patients following psychiatric discharge in the Department of Veterans Affairs (VA) health system, a national health care system. Over a 7-year follow-up period, 30,417 patients (86%) were reinstitutionalized. Among these patients, 73% were initially reinstitutionalized to inpatient psychiatric settings. Homelessness, medical morbidity, and substance use were associated with increased risks for reinstitutionalization. Despite the VA’s increased emphasis on outpatient services delivery, the vast majority of patients experienced reinstitutionalization in the follow-up period. Study findings may inform efforts to refine psychiatric and medical assessment for service delivery for this vulnerable population.
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Metadata
Title
Reinstitutionalization Following Psychiatric Discharge among VA Patients with Serious Mental Illness: A National Longitudinal Study
Authors
Cheryl Irmiter
John F. McCarthy
Kristen L. Barry
Soheil Soliman
Frederic C. Blow
Publication date
01-12-2007
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 4/2007
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-007-9046-y

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