title: Home-based treatment, rates of ambulatory follow-up, and psychiatric rehospitalization in a Medicaid managed care population.
abstract: This study reports on the effect of home-based mental health treatment following psychiatric hospitalization on ambulatory follow-up rates and readmission rates in a Medicaid managed care population. Logistic regression models were used to predict the odds of ambulatory treatment after hospitalization and to predict rehospitalization. A consumer who received in-home treatment was 22 times more likely to follow-through with aftercare treatment of more than one visit than were those who did not receive in-home treatment. However, in-home treatment, age, gender, and previous hospitalization did not significantly predict the odds of rehospitalization. While home-based services did not reduce the incidence of rehospitalization, providing services within the home has the potential to increase attendance in aftercare services by Medicaid managed care recipients.
authors.affiliation: Magellan Behavioral Health, 15304 Nooning Tree Court, Chesterfield, MO 63017, USA. sgfrederick@magellanhealth.com
authors.forename: Scott
authors.initials: S
authors.lastname: Frederick
authors.forename: Karen
authors.initials: K
authors.lastname: Caldwell
authors.forename: Doris McGartland
authors.initials: DM
authors.lastname: Rubio
mesh_terms: D000293:Adolescent; D000328:Adult; D000359:Aftercare / Q000706:statistics & numerical data; D002648:Child; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D005260:Female; D006302:Health Services Research; D006699:Home Care Services / Q000706:statistics & numerical data*; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration*; D008484:Medicaid / Q000706:statistics & numerical data*; D008875:Middle Aged; D008923:Missouri; D010359:Patient Readmission / Q000706:statistics & numerical data*; D014481:United States