TY - JOUR PY - 2018// TI - Boundary-spanning care: reducing psychiatric rehospitalization and self-injury in a jail population JO - Journal of correctional health care A1 - Bursac, Rahela A1 - Raffa, Laura A1 - Solimo, Angela A1 - Bell, Connor A1 - Ford, Elizabeth SP - 365 EP - 370 VL - 24 IS - 4 N2 - Individuals with serious mental illness detained in jail may require frequent psychiatric hospitalization due to the destabilizing nature of the jail environment. This study examined the impact of a pilot treatment program involving continuity of patient care across jail and hospital settings aimed at reducing hospitalizations and negative health outcomes for a population of high-risk, incarcerated individuals with mental illness. This study examined rate ratios of psychiatric hospitalizations, injuries, and suicide watches, comparing 15 patients in the treatment program to themselves pretreatment and to a control group of 15 frequently rehospitalized patients. Patients in treatment experienced significant decreases in overall hospitalizations ( p <.001), 15-day rehospitalizations ( p <.002), and suicide watches in jail ( p <.02), compared to themselves pretreatment. A boundary-spanning treatment program lowered hospitalization rates and need for suicide watch for a small, yet clinically complicated and challenging group of patients.
Language: en
LA - en SN - 1078-3458 UR - http://dx.doi.org/10.1177/1078345818792055 ID - ref1 ER -