Adult General Psychiatric Patients Served in Nebraska’s State Hospitals: Patient Characteristics and Needs

Shinobu Watanabe-Galloway, Kate Watkins, Steve Ryan, Jim Harvey, Blaine Shaffer

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

This study identified the characteristics and needs of adults discharged from state psychiatric hospitals. A retrospective analysis of data on patients discharged from adult psychiatric units of three state psychiatric hospitals in Nebraska 2005–2008 was conducted. Diagnoses were classified into six groups, and Axis III data from the state psychiatric hospitals provided information about medical comorbidity. Only 12 % of admitted patients had private insurance or could pay for their own treatment. Almost all discharged patients (95 %) had a diagnosis of serious mental illness, and substance abuse (68 %) and personality disorder (68 %) were common, as were significant general health problems. Fourteen percent of patients used emergency services five or more times during the study period. Greater efforts must be made to diagnose, treat, and monitor major somatic illnesses and to better understand the factors that contribute to readmission and emergency service use in this population.

Original languageEnglish (US)
Pages (from-to)198-203
Number of pages6
JournalCommunity Mental Health Journal
Volume51
Issue number2
DOIs
StatePublished - 2014

Keywords

  • Comorbidity
  • Serious mental illness
  • Service needs
  • State psychiatric hospitals

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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