Community Mental Health Journal

, Volume 48, Issue 5, pp 598–603 | Cite as

Effectiveness of a High End Users Program for Persons with Psychiatric Disorders

  • Aileen B. Rothbard
  • Sumedha Chhatre
  • Cynthia Zubritsky
  • Karen Fortuna
  • Steven Dettwyler
  • Renata J. Henry
  • Melissa Smith
Brief Report


To evaluate the effectiveness of an intensive system of case management for high end users of inpatient care in reducing psychiatric inpatient utilization. A pre-post study design with a contemporaneous comparison group was employed to determine the effects of a State designed intervention to reduce inpatient care for adults with a mental health disorder who had high utilization of inpatient psychiatric care between 2004 and 2007. Logit and negative binomial regression models were used to determine the likelihood, frequency and total days of inpatient utilization in the post period as a function of the intervention. Data from administrative reporting forms and Medicaid claims were used to construct inpatient utilization histories and characteristics of 176 patients. Patients in both groups had a significant reduction in mean inpatient days. However, being in the intervention program did not result in lower odds of being re-hospitalized or in fewer episodes during the study period.


Psychiatric hospitalization High end users Inpatient psychiatric recidivism 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Aileen B. Rothbard
    • 1
  • Sumedha Chhatre
    • 2
  • Cynthia Zubritsky
    • 3
  • Karen Fortuna
    • 4
  • Steven Dettwyler
    • 5
  • Renata J. Henry
    • 6
    • 7
  • Melissa Smith
    • 8
  1. 1.Center for Mental Health Policy and Service ResearchPhiladelphiaUSA
  2. 2.Center for Mental Health Policy and Service ResearchPhiladelphiaUSA
  3. 3.Center for Mental Health Policy and Service ResearchPhiladelphiaUSA
  4. 4.Center for Mental Health Policy and Service ResearchPhiladelphiaUSA
  5. 5.Mental Health ProgramsDSAMH/DHSSNew CastleUSA
  6. 6.Department of Health and Mental HygieneBaltimoreUSA
  7. 7.Department of Behavioral Health and DisabilitiesBaltimoreUSA
  8. 8.Division of Substance Abuse and Mental HealthDSAMH/DHSSNew CastleUSA

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