TY  - JOUR
PY  - 2016//
TI  - Correlates of emergency department use by individuals with bipolar disorder enrolled in a collaborative care implementation study
JO  - Psychiatric services
A1  - Waxmonsky, Jeanette
A1  - Verchinina, Lilia
A1  - Kim, Hyungjin Myra
A1  - Lai, Zongshan
A1  - Eisenberg, Daniel
A1  - Kyle, Julia T.
A1  - Nord, Kristina M.
A1  - Rementer, Jenny H.
A1  - Goodrich, David E.
A1  - Bauer, Mark S.
A1  - Thomas, Marshall R.
A1  - Kilbourne, Amy M.
SP  - 1265
EP  - 1268
VL  - 67
IS  - 11
N2  - OBJECTIVE: The study assessed correlates of emergency department use among participants in a collaborative care program for bipolar disorder. <br><br>METHODS: Community-based clinics from two states implemented Life Goals-Collaborative Care (LG-CC), an evidence-based model that includes self-management sessions and care management contacts. Logistic regression determined participant factors associated with emergency department use between six and 12 months after LG-CC implementation. <br><br>RESULTS: Of 219 participants with baseline and 12-month data, 24% reported at least one emergency department visit. Participants with a recent homelessness history (odds ratio [OR]=3.76, p=.01) or five or more care management contacts (OR=2.62, p=.05) had a higher probability of visiting an emergency department, after the analyses were adjusted for demographic and clinical factors, including physical health score and hospitalization history. <br><br>CONCLUSIONS: Participants in a collaborative care program who had a history of homelessness were more likely to use the emergency department, suggesting a greater need for more intensive care coordination.<p />  <p>Language: en</p>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201500347
ID  - ref1
ER  -