Monitoring different variables, the purpose of this study was to determine what percentage of patients which were admitted acutely to the hospital, did indeed make it to their first scheduled follow-up appointment. In addition, the
natural environmental variables were examined.
Follow-Up after Inpatient Psychiatric Hospitalization
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Editorial board Follow-Up after Inpatient Psychiatric Hospitalization with
Partial Control of the System Responsiveness Variable
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Permissions Author(s): Rif S. El-Mallakh, MD 1 | Tina James, MD 2 | Tehmina Khan, MD 3 | Marina Katz, MD 4 |
Bethany McGovern, MD 5 | Sunil Nair, MD 6 | Scott Tallent, MD 7 | Gregory Williams, DO 8
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Dr. Scott Tallent doi: 10.1521/psyc.67.3.294.48985
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Psychiatry: Interpersonal & Biological Processes
Print ISSN: 0033-2747
Volume: 67 | Issue: 3
Cover date: Fall 2004
Page(s): 294-298
Abstract
One of the most significant predictors of prompt rehospitalization following psychiatric hospital
discharge is missing follow-up out-patient appointments. Previous studies have suggested that
system responsiveness accounted for much of the variance in predicting compliance with
aftercare. Collaborations established at our institution allowed us to partially control this variable,
opening the way to explore other obstacles to aftercare. All severely mentally ill subjects
discharged from our hospital are provided follow-up appointments within two weeks. We
retrospectively evaluated compliance with aftercare appointment and investigated factors that
were associated with compliance. Eighty-one subjects were evaluated. Twenty-seven (33.8 %)
did not attend their first follow-up appointment. Subjects with a primary substance-related
syndrome were the most likely to miss their appointment (83.3%, χ2 = 17.02, p = .0045), as were
uninsured patients (51.6%, χ2 = 8.79, p = .003). There was a trend for individuals not previously
involved with their aftercare providers to miss their appointment (48.9%, χ2 = 3.35, p = .067).
Despite partial control of the system responsiveness variable, compliance with aftercare was
suboptimal. This was due to a combination of client vulnerability variables and uncontrollable
system responsiveness factors.
Author(s) affiliations
1. The Mood Disorders Research Program, Department of Psychiatry and Behavioral Sciences,
University of Louisville School of Medicine, Louisville, Kentucky 40291.
2. The Mood Disorders Research Program, Department of Psychiatry and Behavioral Sciences,
University of Louisville School of Medicine, Louisville, Kentucky 40291.
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