Factors Associated with the Receipt of Follow-Up Care Among Medicare Beneficiaries Discharged from Inpatient Psychiatric Facilities

Factors Associated with the Receipt of Follow-Up Care Among Medicare Beneficiaries Discharged from Inpatient Psychiatric Facilities

Published: Jul 28, 2022
Publisher: The Journal of Behavioral Health Services & Research (online ahead of print)
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Associated Project

National Surveys of Mental Health and Substance Use Disorder Treatment Facilities

Time frame: 2016-2021

Prepared for:

U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration

Authors

Nadia Bell

Key Findings
  • On average, 28% of Medicare beneficiaries discharged from inpatient psychiatric facilities received follow-up mental health care within 7 days of discharge.
  • Follow-up care was worse among facilities operated by private for-profit organizations and public agencies and facilities where a large proportion of people received involuntary treatment.

This study examined the extent to which facility characteristics, discharge practices, and the availability of outpatient mental health care are associated with receiving follow-up care within 7 days of discharge from an inpatient psychiatric facility among Medicare beneficiaries. The study merged 2018 National Mental Health Services Survey data with 2018 Inpatient Psychiatric Facility Quality Reporting program data representing 1147 inpatient psychiatric facilities. Results from logistic regression analyses indicated that inpatient facilities operated by private for-profit organizations and public agencies had lower odds of achieving high performance on a measure that assessed if Medicare beneficiaries received follow-up care within 7 days of discharge relative to private nonprofit facilities; follow-up rates were inversely associated with the proportion of involuntarily committed patients at the facility. Follow-up rates were not associated with other facility characteristics, discharge practices, the availability of outpatient care at the location of the inpatient facility, or the density of outpatient mental health providers in the community. Improving follow-up care for Medicare beneficiaries could target for-profit and public hospitals and those that serve a high proportion of individuals involuntarily committed to inpatient care.

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