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An examination of risk factors for readmission to acute adult mental health services within 28 days of discharge in the Australian setting

Callaly, Tom, Trauer, Tom, Hyland, Mary, Coombs, Tim and Berk, Michael 2011, An examination of risk factors for readmission to acute adult mental health services within 28 days of discharge in the Australian setting, Australasian psychiatry, vol. 19, no. 3, pp. 221-225, doi: 10.3109/10398562.2011.561845.

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Title An examination of risk factors for readmission to acute adult mental health services within 28 days of discharge in the Australian setting
Author(s) Callaly, Tom
Trauer, Tom
Hyland, Mary
Coombs, Tim
Berk, MichaelORCID iD for Berk, Michael orcid.org/0000-0002-5554-6946
Journal name Australasian psychiatry
Volume number 19
Issue number 3
Start page 221
End page 225
Total pages 5
Publisher SAGE Publications
Place of publication London, Eng.
Publication date 2011-06
ISSN 1039-8562
1440-1665
Keyword(s) Adult
Australia
Female
Humans
Male
Mental Health Services
Patient Readmission
Quality Assurance, Health Care
Risk Factors
Time Factors
Science & Technology
Life Sciences & Biomedicine
Psychiatry
PSYCHIATRY, SCI
PSYCHIATRY, SSCI
benchmarking
key performance indicators
mental health
readmission
PREDICTORS
REHOSPITALIZATION
SCHIZOPHRENIA
RECIDIVISM
QUALITY
CARE
Summary OBJECTIVE: The aim of this paper was to identify risk factors associated with readmission within 28 days of discharge from eight Australian adult acute mental health inpatient services. METHOD: A detailed file audit was conducted comparing 222 patients readmitted within 28 days of discharge with 253 patients not readmitted during the same period. RESULTS: There was an association between early readmission and having had contact with the service in the previous 12 months (51% vs 21%), having been admitted in the previous 12 months (65% vs 36%), and having been diagnosed with an emotionally unstable personality disorder (14% vs 4%). Those who were not readmitted had a significantly higher score in the Health of the Nation Outcome Scales on index admission than those who were readmitted. Those who had community team contact on the day of discharge and those who received follow up by the mental health team within 7 days of discharge were more likely to be readmitted (55% vs 45% and 29% vs 19% respectively). CONCLUSIONS: Significant determinants of early readmission identified were a history of recent previous admissions and a diagnosis of unstable personality disorder. The usefulness of this performance measure to Area Mental Health Services and clinicians is discussed.
Language eng
DOI 10.3109/10398562.2011.561845
Field of Research 111799 Public Health and Health Services not elsewhere classified
11 Medical And Health Sciences
17 Psychology And Cognitive Sciences
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, The Royal Australian and New Zealand College of Psychiatrists
Persistent URL http://hdl.handle.net/10536/DRO/DU:30071147

Document type: Journal Article
Collection: Faculty of Health
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