title: Psychiatric Inpatient Discharge Planning Practices and Attendance at Aftercare Appointments.
abstract: This study examined discharge planning practices by hospital providers for 17,053 psychiatric discharges in New York's statewide Medicaid program.
  
  
  
  Claims data were linked to information reported to New York State by managed behavioral health care organizations (MBHOs) conducting inpatient utilization reviews. MBHOs documented hospital providers' reports of the presence of three discharge planning practices for each discharge: communicating with an outpatient provider prior to discharge, scheduling an aftercare appointment, and forwarding a discharge summary.
  
  
  
  Hospital providers reported completing at least one of the three discharge planning practices for 85% of discharges. Individuals who received all three discharge planning practices had a higher likelihood of follow-up and kept their first outpatient follow-up visit at almost twice the speed compared with individuals who received none of the practices (hazard ratio=1.96, p<.001).
  
  
  
  This study provided baseline information concerning routine discharge planning practices and their relationship to timeliness of care transitions.
authors: Dr. Smith, Dr. Essock, Dr. Olfson, and Dr. Wall are with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York (e-mail: smithto@nyspi.columbia.edu ). They are also with the New York State Psychiatric Institute, New York, where Dr. Abraham is affiliated. Ms. Bolotnikova, Ms. Donahue, Ms. Shao, and Dr. Radigan are with the Office of Performance Measurement and Evaluation, New York State Office of Mental Health, Albany.
authors: Thomas E
authors: TE
authors: Smith
authors: Dr. Smith, Dr. Essock, Dr. Olfson, and Dr. Wall are with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York (e-mail: smithto@nyspi.columbia.edu ). They are also with the New York State Psychiatric Institute, New York, where Dr. Abraham is affiliated. Ms. Bolotnikova, Ms. Donahue, Ms. Shao, and Dr. Radigan are with the Office of Performance Measurement and Evaluation, New York State Office of Mental Health, Albany.
authors: Maria
authors: M
authors: Abraham
authors: Dr. Smith, Dr. Essock, Dr. Olfson, and Dr. Wall are with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York (e-mail: smithto@nyspi.columbia.edu ). They are also with the New York State Psychiatric Institute, New York, where Dr. Abraham is affiliated. Ms. Bolotnikova, Ms. Donahue, Ms. Shao, and Dr. Radigan are with the Office of Performance Measurement and Evaluation, New York State Office of Mental Health, Albany.
authors: Natalia V
authors: NV
authors: Bolotnikova
authors: Dr. Smith, Dr. Essock, Dr. Olfson, and Dr. Wall are with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York (e-mail: smithto@nyspi.columbia.edu ). They are also with the New York State Psychiatric Institute, New York, where Dr. Abraham is affiliated. Ms. Bolotnikova, Ms. Donahue, Ms. Shao, and Dr. Radigan are with the Office of Performance Measurement and Evaluation, New York State Office of Mental Health, Albany.
authors: Sheila A
authors: SA
authors: Donahue
authors: Dr. Smith, Dr. Essock, Dr. Olfson, and Dr. Wall are with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York (e-mail: smithto@nyspi.columbia.edu ). They are also with the New York State Psychiatric Institute, New York, where Dr. Abraham is affiliated. Ms. Bolotnikova, Ms. Donahue, Ms. Shao, and Dr. Radigan are with the Office of Performance Measurement and Evaluation, New York State Office of Mental Health, Albany.
authors: Susan M
authors: SM
authors: Essock
authors: Dr. Smith, Dr. Essock, Dr. Olfson, and Dr. Wall are with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York (e-mail: smithto@nyspi.columbia.edu ). They are also with the New York State Psychiatric Institute, New York, where Dr. Abraham is affiliated. Ms. Bolotnikova, Ms. Donahue, Ms. Shao, and Dr. Radigan are with the Office of Performance Measurement and Evaluation, New York State Office of Mental Health, Albany.
authors: Mark
authors: M
authors: Olfson
authors: Dr. Smith, Dr. Essock, Dr. Olfson, and Dr. Wall are with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York (e-mail: smithto@nyspi.columbia.edu ). They are also with the New York State Psychiatric Institute, New York, where Dr. Abraham is affiliated. Ms. Bolotnikova, Ms. Donahue, Ms. Shao, and Dr. Radigan are with the Office of Performance Measurement and Evaluation, New York State Office of Mental Health, Albany.
authors: Wenjun S
authors: WS
authors: Shao
authors: Dr. Smith, Dr. Essock, Dr. Olfson, and Dr. Wall are with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York (e-mail: smithto@nyspi.columbia.edu ). They are also with the New York State Psychiatric Institute, New York, where Dr. Abraham is affiliated. Ms. Bolotnikova, Ms. Donahue, Ms. Shao, and Dr. Radigan are with the Office of Performance Measurement and Evaluation, New York State Office of Mental Health, Albany.
authors: Melanie M
authors: MM
authors: Wall
authors: Dr. Smith, Dr. Essock, Dr. Olfson, and Dr. Wall are with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York (e-mail: smithto@nyspi.columbia.edu ). They are also with the New York State Psychiatric Institute, New York, where Dr. Abraham is affiliated. Ms. Bolotnikova, Ms. Donahue, Ms. Shao, and Dr. Radigan are with the Office of Performance Measurement and Evaluation, New York State Office of Mental Health, Albany.
authors: Marleen
authors: M
authors: Radigan
mesh_terms: D000293:Adolescent; D000328:Adult; D000359:Aftercare / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data*; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D009518:New York; D010351:Patient Discharge / Q000706:statistics & numerical data*; D014481:United States; D055815:Young Adult
keywords: Care Transitions; Discharge Planning; Engagement; Hospitalization; Inpatient treatment; Mental health systems/hospitals