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加利福尼亚州全方位服务合作项目参与者入住精神病医院的风险因素。

Risk Factors for Psychiatric Hospital Admission for Participants in California's Full-Service Partnership Program.

作者信息

Penkunas Michael J, Hahn-Smith Stephen

机构信息

Research and Evaluation Unit, Contra Costa Behavioral Health Services, 1340 Arnold Drive, Suite 200, Martinez, CA, 94553, USA.

出版信息

Community Ment Health J. 2016 Aug;52(6):651-7. doi: 10.1007/s10597-014-9789-5. Epub 2014 Dec 20.

Abstract

This study investigated the demographic and clinical predictors of psychiatric hospitalization during the first 2 years of treatment for adults participating in the full-service partnership (FSP) program, based on Assertive Community Treatment, in a large county in northern California. Clinical and demographic characteristics, data on prior hospitalizations, length of enrollment, and living situation for 328 FSP participants were collected from the county's internal billing system and the California Department of Health Care Services. In univariate models, the probability of hospitalization varied by diagnosis, age, and hospitalization history. In the multivariate model, younger age and frequent hospitalization prior to enrollment predicted hospitalization during enrollment. Findings support prior research on hospital recidivism and may be beneficial in refining future strategies for meeting the needs of adults with serious mental illness.

摘要

本研究调查了在加利福尼亚州北部一个大县参与基于积极社区治疗的全方位服务伙伴关系(FSP)项目的成年人在治疗的前两年内精神病住院治疗的人口统计学和临床预测因素。从该县的内部计费系统和加利福尼亚医疗保健服务部收集了328名FSP参与者的临床和人口统计学特征、既往住院数据、登记时长和生活状况。在单变量模型中,住院概率因诊断、年龄和住院史而异。在多变量模型中,年龄较小和登记前频繁住院预示着登记期间会住院。研究结果支持了先前关于再住院的研究,可能有助于完善未来满足严重精神疾病成年人需求的策略。

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