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Administration and Policy in Mental Health and Mental Health Services Research

Published in:

01-03-2015 | Original Article

Trends in Hospital Discharges and Dispositions for Episodes of Co-occurring Severe Mental Illness and Substance Use Disorders

Authors: Jennifer I. Manuel, Megan E. Gandy, David Rieker

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 2/2015

Abstract

This study examined trends in general hospital discharges and dispositions involving episodes of severe mental illness (SMI) with and without co-occurring substance use disorders. We analyzed data from the National Hospital Discharge Survey from 1979 through 2008. Discharges involving SMI and co-occurring substance use disorders (COD) were associated with shorter lengths of stay and had a greater likelihood of being discharged routinely or home and reduced likelihood of being transferred to a short- or long-term facility. Although COD discharges had a greater odds of leaving against medical advice than SMI discharges, this effect was not significant over time. A greater understanding of hospital discharge planning practices is needed to ensure that patients are linked to appropriate aftercare services.

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Title: Trends in Hospital Discharges and Dispositions for Episodes of Co-occurring Severe Mental Illness and Substance Use Disorders
Authors: Jennifer I. Manuel
Megan E. Gandy
David Rieker
Publication date: 01-03-2015
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 2/2015
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-014-0540-x

At a glance: The STEP trials

Springer Medicine

Trends in Hospital Discharges and Dispositions for Episodes of Co-occurring Severe Mental Illness and Substance Use Disorders

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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