Clinical Predictors of Delayed Discharges in Inpatient Mental Health Settings Across Ontario

TitleClinical Predictors of Delayed Discharges in Inpatient Mental Health Settings Across Ontario
Publication TypeJournal Article
Year of Publication2019
AuthorsLittle J, Hirdes JP, Perlman CM, Meyer SB
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume46
Issue1
Pagination105-114
Date PublishedJanuary 01
Type of Articlejournal article
ISBN Number1573-3289
Accession NumberWOS:000455321000011
Keywords*Alternate level of care, *Delayed discharge, *Inpatient mental health, *InterRAI, *Psychiatric hospital, Activities of Daily Living, Adolescent, Adult, Aged, Female, Hospitals, Psychiatric/*statistics & numerical data, Humans, Inpatients/*statistics & numerical data, length of stay, Male, Mental Disorders/*epidemiology/therapy, Mental Health Services/*organization & administration, Middle Aged, Ontario/epidemiology, Patient Discharge/*statistics & numerical data, Psychiatric Status Rating Scales, Retrospective Studies, Risk Factors, Severity of Illness Index, Young Adult
Abstract

Delayed discharges constitute an ongoing issue in psychiatric facilities. This study examined clinical predictors of 30-day delayed discharges in all designated inpatient mental health units within Ontario, Canada. Data for 76,184 inpatient episodes were obtained from 68 psychiatric facilities between 2011 and 2013. Risk factors for delayed discharges were analyzed using multivariate logistic regression. Indicators of functional, social, and cognitive impairment positively predicted delayed discharges, while symptoms of mental illness were inversely related. Policy makers and mental health care practitioners may utilize early predictors of delayed discharges to introduce treatment interventions and policies that reduce the risk of delays in mental health settings.
DOI10.1007/s10488-018-0898-2
Link

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327079/pdf/10488_2018_Arti...