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The relationship between community resources and state hospital recidivism
Systems and Psychosocial Advances Research Center Publications and Presentations
  • William H. Fisher, University of Massachusetts Medical School
  • Jeffrey L. Geller, University of Massachusetts Medical School
  • Fred Altaffer, Massachusetts Department of Mental Health
  • Mona B. Bennett, Massachusetts Department of Mental Health
UMMS Affiliation
Department of Psychiatry
Publication Date
Document Type
Community Mental Health Services; Deinstitutionalization; Financing, Government; Health Expenditures; Hospitals, Psychiatric; Hospitals, State; Humans; Longitudinal Studies; Massachusetts; Mental Disorders; Patient Readmission; Survival Analysis; Utilization Review

OBJECTIVE: The authors examined the propositions that a revolving state hospital door is an inevitable consequence of deinstitutionalization and that enhancing resources for community-based care can limit this phenomenon.

METHOD: They analyzed the recidivism patterns of state hospital patients in a region of Massachusetts where, because of a federal court consent decree, the level of funding for community programs was more than twice as high as it was in other regions in the state and compared the pattern of recidivism in this region with that observed in the other areas of the state.

RESULTS: Despite the fact that the average daily state hospital census in the resource-rich region was only half that of the other regions, longitudinal data on hospital use showed that the readmission patterns were similar in all state regions.

CONCLUSIONS: The authors suggest that attributes of serious and persistent mental illness may have more effect on hospital readmission patterns than service system variables.

Am J Psychiatry. 1992 Mar;149(3):385-90.
Related Resources
Link to Article in PubMed
PubMed ID
Citation Information
William H. Fisher, Jeffrey L. Geller, Fred Altaffer and Mona B. Bennett. "The relationship between community resources and state hospital recidivism" Vol. 149 Iss. 3 (1992) ISSN: 0002-953X (Linking)
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