Insurance status and length of stay for involuntarily hospitalized patients

  • William H. Fisher
  • Paul J. Barreira
  • Alisa K. Lincoln
  • Lorna J. Simon
  • Andrew W. White
  • Marylou Sudders
Regular Articles


General and private psychiatric hospitals are becoming increasingly common as sites for involuntary hospitalization. Unlike the public facilities that these settings are supplanting, these hospitals must pay strict attention to issues associated with reimbursement, insurance status, and managed care. This article examines the effects of insurance status on length of stay for involuntarily hospitalized patients in general and private hospitals in Massachusetts. Using a two-stage sampling procedure, data on episodes of involuntary hospitalization were gathered and assessed using multiple regression. The primary effect was found between patients with Medicare, who had the longest stays, and individuals who were uninsured, who had the shortest. The data raise concerns that warrant closer scrutiny on the part of administrators and clinicians.


Public Health Health Promotion Health Psychology Disease Prevention Primary Effect 
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Copyright information

© National Council for Community Behavioral Healthcare 2001

Authors and Affiliations

  • William H. Fisher
    • 1
  • Paul J. Barreira
    • 2
  • Alisa K. Lincoln
    • 1
  • Lorna J. Simon
    • 1
  • Andrew W. White
    • 1
  • Marylou Sudders
    • 2
  1. 1.Center for Mental Health Services Research, Department of PsychiatryUniversity of Massachusetts Medical SchoolWorcester
  2. 2.Massachusetts Department of Mental HealthUSA

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