Trends in Hospital Discharges and Dispositions for Episodes of Co-occurring Severe Mental Illness and Substance Use Disorders

Jennifer I. Manuel, Megan E. Gandy, David Rieker

Research output: Contribution to journalArticlepeer-review

Abstract

This study examined trends in general hospital discharges and dispositions involving episodes of severe mental illness (SMI) with and without co-occurring substance use disorders. We analyzed data from the National Hospital Discharge Survey from 1979 through 2008. Discharges involving SMI and co-occurring substance use disorders (COD) were associated with shorter lengths of stay and had a greater likelihood of being discharged routinely or home and reduced likelihood of being transferred to a short- or long-term facility. Although COD discharges had a greater odds of leaving against medical advice than SMI discharges, this effect was not significant over time. A greater understanding of hospital discharge planning practices is needed to ensure that patients are linked to appropriate aftercare services.

Original languageEnglish (US)
Pages (from-to)168-175
Number of pages8
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume42
Issue number2
DOIs
StatePublished - 2015

Keywords

  • Co-occurring disorders
  • Discharge status
  • Hospital admissions
  • Length of stay

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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