"Anyplace but the state hospital": examining assumptions about the benefits of admission diversionSystems and Psychosocial Advances Research Center Publications and Presentations
UMMS AffiliationDepartment of Psychiatry
SubjectsCommunity Mental Health Centers; Continuity of Patient Care; Crisis Intervention; *Deinstitutionalization; Emergency Services, Psychiatric; Hospitals, State; Humans; Mental Disorders; *Patient Transfer; United States
AbstractOne function of contemporary psychiatric emergency services is to divert patient admissions from state hospitals. Underlying this mandate are a series of untested assumptions about the positive effects of admission diversion. The author examines these assumptions using data on inpatient admissions from a crisis intervention service. Although the service was successful in preventing first admissions to the state hospital, the rate of recidivist admissions increased. Inpatient treatment in general or private hospitals did not result in shorter lengths of stay or fewer bed days than state hospital treatment. Because patients could be sent to any of several hospitals, some located far from the catchment area, continuity of care and treatment in the local community were not advanced by diverting admissions from the state hospital.
SourceHosp Community Psychiatry. 1991 Feb;42(2):145-52.
Related ResourcesLink to Article in PubMed
Citation InformationJeffrey L. Geller. ""Anyplace but the state hospital": examining assumptions about the benefits of admission diversion" Vol. 42 Iss. 2 (1991) ISSN: 0022-1597 (Linking)
Available at: http://works.bepress.com/jeffrey_geller/21/