@article{ref1,
title="Impact of state psychiatric hospital waitlists on monthly admissions",
journal="Psychiatric services",
year="2017",
author="La, Elizabeth M. and Morrissey, Joseph P. and Lich, Kristen Hassmiller and Domino, Marisa Elena and Seibert, Julie and Waller, Anna",
volume="68",
number="11",
pages="1201-1204",
abstract="OBJECTIVE: This study estimated the effects of a waitlist policy on the monthly number and case mix of admissions to state psychiatric hospitals (SPHs) in North Carolina (NC). <br><br>METHODS: Descriptive analyses compared pre/postwaitlist differences in the monthly number and case mix of nonforensic adult admissions (N=72,035) to NC's four SPHs by using data from the three years before and the three years after the waitlist announcement. Hospital-level fixed-effects regression models further evaluated the waitlist policy's impact on the number and case mix of admissions. <br><br>RESULTS: Regression results confirmed that the waitlist policy was associated with both fewer admissions and changes to the case mix of admissions, including a 4.2% decrease in the percentage of monthly admissions by patients with diagnoses of substance abuse disorders (p=.002) across all months postwaitlist (partially offset by an increase of patients with diagnoses of severe mental illness alone). <br><br>CONCLUSIONS: Waitlists led to reduced monthly admissions and altered case mix following implementation at NC SPHs.<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.201600578",
url="http://dx.doi.org/10.1176/appi.ps.201600578"
}