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Article
Predictors of outpatient mental health clinic follow-up after hospitalization among Medicaid-enrolled young adults
Psychiatry Publications and Presentations
  • Leslie Marino, New York State Psychiatric Institute
  • Lawrence S. Wissow, Johns Hopkins Bloomberg School of Public Health
  • Maryann Davis, University of Massachusetts Medical School
  • Michael T. Abrams, University of Maryland - Baltimore County
  • Lisa B. Dixon, New York State Psychiatric Institute
  • Eric P. Slade, University of Maryland School of Medicine
UMMS Affiliation
Department of Psychiatry, Systems and Psychosocial Advances Research Center
Date
12-1-2016
Document Type
Article
Abstract
AIM: To assess demographic and clinical predictors of outpatient mental health clinic follow-up after inpatient psychiatric hospitalization among Medicaid-enrolled young adults. METHODS: Using logistic regression and administrative claims data from the Maryland public mental health system and Maryland Medicaid for young adults ages 18-26 who were enrolled in Medicaid (N = 1127), the likelihood of outpatient mental health follow-up within 30 days after inpatient psychiatric hospitalization was estimated . RESULTS: Only 51% of the young adults had any outpatient mental health follow-up visits within 30 days of discharge. Being black and having a co-occurring substance use disorder diagnosis were associated with a lower probability of having a follow-up visit (OR = 0.60, P < 0.01 and OR = 0.36, P < 0.01, respectively). In addition, those who utilized any outpatient public mental health services during the 180 days prior to their index hospitalization (N = 625, 55.4%) were more likely to have a follow-up visit than those without prior outpatient use (OR = 2.45, P < 0.01). Prior Medicaid-reimbursed primary care visits were not significantly associated with follow-up. CONCLUSIONS: In this predominantly urban, low-income statewide sample of young adults hospitalized for serious psychiatric conditions, half did not connect with an outpatient mental healthcare provider following their discharge. Outpatient transition supports may be especially needed for young adults who were not receiving outpatient services prior to being admitted for psychiatric inpatient care, as well as for young adults with substance use disorders and African Americans.
Rights and Permissions
Citation: Early Interv Psychiatry. 2016 Dec;10(6):468-475. doi: 10.1111/eip.12206. Epub 2015 Jan 13. Link to article on publisher's site
Related Resources
Link to Article in PubMed
Keywords
  • Medicaid,
  • mental health service,
  • young adult
PubMed ID
25639939
Citation Information
Leslie Marino, Lawrence S. Wissow, Maryann Davis, Michael T. Abrams, et al.. "Predictors of outpatient mental health clinic follow-up after hospitalization among Medicaid-enrolled young adults" Vol. 16 Iss. 6 (2016) ISSN: 1751-7885 (Linking)
Available at: http://works.bepress.com/maryann_davis/52/