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International Journal of Social Psychiatry
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Single and Repeated Admissions to a Mental Health Center: Demographic, Clinical and Use of Service Characteristics

Mary E. Swigar

Robert Wood Johnson University Hospital, New Brunswick, New Jersey 08903-0019, USA

Boris Astrachan

Department of Psychiatry, University of Illinois at Chicago

Michael A. Levine

Connecticut Mental Health Center. Departments of Psychiatry and Epidemiology & Public Health

Violet Mayfield

Entry Crisis Services, Connecticut Mental Health Center, New Haven, Connecticut

Carol Radovich

Center for Geriatric & Adult Psychiatry, Department of Psychiatry, Yale University School of Medicine

Eight hundred and forty one patients with 1,135 consecutive admissions to a university-affiliated mental health center were studied to examine patterns of treatment program use. Twenty two percent of patients had repeat admissions accounting for 42% of hospital episodes.

Single admission and repeater groups are compared, and differences among repeater subgroups with progressively greater numbers of admissions per patient are described. Only 10 patients with the highest number of admissions during the study period also were very high utilizers of all services (inpatient, crisis, day hospital, regional chronic state hospital). These patients' characteristics are discussed with implications for future study.

International Journal of Social Psychiatry, Vol. 37, No. 4, 259-266 (1991)
DOI: 10.1177/002076409103700405
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