Selective criteria for transfer to community hospital inpatient mental health services

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Abstract

To reduce census and downsize operations, state inpatient care is being relocated to community hospitals. Planners must consider current selection processes to effect system redesign. This research examined a collaborative admission process from a state provider to community hospitals. Consumers with involved family/significant others were likely to be transferred. Those exhibiting suicidal behavior and males with assaultive behavior were unlikely to be transferred. It is suggested that cross sector specialization is a practical strategy for redesign and that community hospitals may require enhancements to function as sole core providers for the SMI population.