Short stay unit for patients in acute mental health crisis: A case-control study of readmission rates

Jerneja Sveticic; Kathryn Turner; Shailendhra Bethi; Ravikumar Krishnaiah; Lee Williams; Alice Almeida-Crasto; Nicolas J. C. Stapelberg; Samit Roy

doi:10.1111/appy.12376

Short stay unit for patients in acute mental health crisis: A case-control study of readmission rates

Jerneja Sveticic^*, Kathryn Turner, Shailendhra Bethi, Ravikumar Krishnaiah, Lee Williams, Alice Almeida-Crasto, Nicolas J. C. Stapelberg, Samit Roy

^*Corresponding author for this work

Faculty of Health Sciences & Medicine

Research output: Contribution to journal › Article › Research › peer-review

4 Citations (Scopus)

Abstract

Introduction

Past evaluations of psychiatric short stay units have shown positive outcomes for patients, yet very little is known about the factors related to readmissions.

Methods

A Short Stay Pathway (SSP) has been introduced on the Gold Coast, Australia, for patients in acute mental health crisis with admissions of up to 3 days. Rates of readmissions within 28 days were compared for SSP patients (N = 678), and a diagnosis-matched control group of patients from acute mental health beds (N = 1356). Demographic and clinical factors were considered as predictors of subsequent readmissions.

Results

Average length of stay for SSP patients was 3.4 days, compared to 7.6 days in the control group. 10.6% of SSP patients and 18.4% of the control group were readmitted within 28 days (P <.001). For both groups, a 7-day follow up significantly reduced readmissions (P <.05). Indigenous patients on SSP had higher odds of readmissions than non-Indigenous patients (P <.05), and a diagnosis of a personality disorder increased readmission in the control group but not the SSP group (P <.001).

Discussion

SSP reduced repeated hospitalizations for patients in acute crisis by 42%. An identification of factors related to future admissions can inform future tailoring of this model of care to subgroups of patients.

Original language	English
Article number	e12376
Number of pages	7
Journal	Asia-Pacific Psychiatry
Volume	12
Issue number	1
Early online date	27 Dec 2019
DOIs	https://doi.org/10.1111/appy.12376
Publication status	Published - Mar 2020

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title = "Short stay unit for patients in acute mental health crisis: A case-control study of readmission rates",

abstract = "Introduction Past evaluations of psychiatric short stay units have shown positive outcomes for patients, yet very little is known about the factors related to readmissions. Methods A Short Stay Pathway (SSP) has been introduced on the Gold Coast, Australia, for patients in acute mental health crisis with admissions of up to 3 days. Rates of readmissions within 28 days were compared for SSP patients (N = 678), and a diagnosis-matched control group of patients from acute mental health beds (N = 1356). Demographic and clinical factors were considered as predictors of subsequent readmissions. Results Average length of stay for SSP patients was 3.4 days, compared to 7.6 days in the control group. 10.6% of SSP patients and 18.4% of the control group were readmitted within 28 days (P <.001). For both groups, a 7-day follow up significantly reduced readmissions (P <.05). Indigenous patients on SSP had higher odds of readmissions than non-Indigenous patients (P <.05), and a diagnosis of a personality disorder increased readmission in the control group but not the SSP group (P <.001). Discussion SSP reduced repeated hospitalizations for patients in acute crisis by 42%. An identification of factors related to future admissions can inform future tailoring of this model of care to subgroups of patients.",

author = "Jerneja Sveticic and Kathryn Turner and Shailendhra Bethi and Ravikumar Krishnaiah and Lee Williams and Alice Almeida-Crasto and Stapelberg, {Nicolas J. C.} and Samit Roy",

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AU - Roy, Samit

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Short stay unit for patients in acute mental health crisis: A case-control study of readmission rates

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