title: The relationship of illness management and recovery to state hospital readmission.
abstract: The current study examined the association between number of hours attended of the Illness Management and Recovery (IMR) program and psychiatric readmission rates after discharge from a state psychiatric hospital. The study used archival data, N = 1186, from a large northeastern state psychiatric hospital in the United States. A Cox's regression survival analyses was conducted, adjusting for extreme outliers and controlling for sociodemographic covariates, to examine the association between different amounts of IMR and the risk for returning to the hospital. After controlling for the client characteristics of age, sex, marital status, psychiatric diagnosis, and Global Assessment of Functioning score at discharge, as well as controlling for mean daily dose of generic hospital programming and the number of days of hospitalization, it was found that, for each hour of IMR, there was an associated 1.1% reduction in the risk for returning to the hospital. This suggests that participation in IMR while in inpatient settings may assist individuals in reducing their risk for returning to the hospital.
authors.affiliation: Department of Psychiatric Rehabilitation and Counseling Professions, Rutgers University, Scotch Plains, NJ.
authors.forename: Tom
authors.initials: T
authors.lastname: Bartholomew
authors.forename: Michelle
authors.initials: M
authors.lastname: Zechner
mesh_terms: D000328:Adult; D000368:Aged; D019468:Disease Management; D005260:Female; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006783:Hospitals, State / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data*; D011618:Psychotic Disorders / Q000628:therapy*; D018570:Risk Assessment; D012559:Schizophrenia / Q000628:therapy*; D016019:Survival Analysis; D014481:United States; D055815:Young Adult