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• W1567888083 abstract "Back to table of contents Previous article Next article No AccessFactors associated with admission to public and private hospitals from a psychiatric emergency screening sitePublished Online:1 Apr 2006https://doi.org/10.1176/ps.46.5.467AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: The study examined factors associated with admission to public and private hospitals from a mental health care emergency screening system operating under a longstanding mandate to maximize use of private inpatient treatment. METHODS: For 206 patients evaluated at the mental health emergency screening site over a two-and-a-half-month period, data were collected on demographic and clinical characteristics, admission history, services received during the emergency encounter, system variables such as time the patient spent at the emergency screening site, number of admission sites asked to accept the patient, and all reasons cited by providers for refusing to admit the patient. Logistic regression was used to develop a model of factors most likely and least likely to be associated with private hospitalization. RESULTS: Overall, 60 percent of the sample was refused admission by one or more providers, and 55 percent, who were not accepted by and private hospital, became public patients. Private hospital admission was associated with patient or family involvement in referral and disposition, private or Medicaid insurance, a presenting problem of depression or suicidality, and longer time spent at the emergency screening site. Public admission was associated with no insurance, a past history of major public hospitalization, current or past history of assaultiveness, a presenting problem of aggression, and lack of any discharge site. CONCLUSIONS: Private providers are reluctant to admit patients who have characteristics associated with public hospitalization. In the restructuring of health care, a more fully privatized system will likely be called on to absorb such patients. Their care, treatment, and impact on the system should be carefully monitored and evaluated. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - Psychiatric Services $35.00 Add to cart PPV Articles - Psychiatric Services Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byThe Last Half-Century of Psychiatric Services as Reflected in Psychiatric ServicesJeffrey L. Geller, M.D., M.P.H.1 January 2000 | Psychiatric Services, Vol. 51, No. 1Factors Associated With Involuntary Return to a Psychiatric Emergency Service Within 12 MonthsSteven P. Segal, Ph.D., Phillip D. Akutsu, Ph.D., and Margaret A. Watson, D.S.W.1 September 1998 | Psychiatric Services, Vol. 49, No. 9A state mental health system with no state hospital: the Vermont plan ten years later1 April 2006 | Psychiatric Services, Vol. 48, No. 8Consent for psychotherapy1 April 2006 | Psychiatric Services, Vol. 48, No. 8 Volume 46Issue 5 May 1995Pages 467-472 Metrics PDF download History Published online 1 April 2006 Published in print 1 May 1995" @default.
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• W1567888083 title "Factors associated with admission to public and private hospitals from a psychiatric emergency screening site" @default.
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