TY  - JOUR
PY  - 2017//
TI  - Impact of state psychiatric hospital waitlists on monthly admissions
JO  - Psychiatric services
A1  - La, Elizabeth M.
A1  - Morrissey, Joseph P.
A1  - Lich, Kristen Hassmiller
A1  - Domino, Marisa Elena
A1  - Seibert, Julie
A1  - Waller, Anna
SP  - 1201
EP  - 1204
VL  - 68
IS  - 11
N2  - 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>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201600578
ID  - ref1
ER  -