Variables affecting post-inpatient admission outcomes

Mathew Nguyen, Blake Pfeifer, Denise Sanfilippo


In the Unites States, mental illness affects one in five people. This high prevalence rate leads to a significant number of these individuals requiring inpatient psychiatric hospitalizations. Chronic and persistent mental illnesses lead to readmissions and extended average lengths of stays and fuel escalating health care costs. Estimates show a 12.2% increase in cost between 2005 and 2014. Analyzing data from the Agency for Healthcare Research and Quality, Heslin and Weiss (2015) determined that approximately 20% of all Medicare patients are readmitted within 30 days of discharge (taking into account all illnesses), with costs totaling 15 – 20 billion dollars annually.


Bridge assessment, Follow-up appointment, Supportive counselling

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National Institute of Mental Health. Available at Accessed 21 June 2018.

McDermott KW, Elixhauser A, Sun R. Trends in hospital inpatient stays in the United States, 2005-2014 (HCUP Statistical Brief #225). Agency for Healthcare Research and Quality; 2017. Available at: statbriefs/sb225-Inpatient-US-Stays-Trends.pdf. Accessed 21 June 2018.

Heslin KC, Weiss AJ. Hospital readmissions involving psychiatric disorders, 2012 (HCUP Statistical Brief #189). Agency for Healthcare Research and Quality; 2015. Available at sb189-Hospital-Readmissions-Psychiatric-Disorders -2012.pdf. Accessed 21 June 2018.

Batscha C, Mcdevitt J, Weiden P, Dancy B. The effect of an inpatient transition intervention on attendance at the first appointment post discharge from a psychiatric hospitalization. J Am Psychiatr Nurses Assoc. 2011;17(5):330-8.

Killaspy H. Why do psychiatrists have difficulty disengaging with the out-patient clinic? Invited commentary on Why don’t patients attend their appointments? Adv Psych Treat. 2007;13(6):435-7.

Kreyenbuhl J, Nossel IR, Dixon LB. Disengagement from mental health treatment among individuals with schizophrenia and strategies for facilitating connections to care: a review of the literature. Schizophr Bull. 2009;35(4):696-703.

Jacobs N, Reupert A. The effectiveness of supportive counseling, based on Rogerian principles: a systematic review of recent international and Australian research. Psychotherapy and Counselling Federation of Australia; 2014: 3-13.

DiMatteo MR, Sherbourne CD, Hays RD, Ordway L, Kravitz RL, McGlynn EA, et al. Physician’s characteristics influence patients’ adherence to medical treatment: results from the Medical Outcomes Study. Health Psychol. 1993;12(2):93-102.