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The Problem of Readmission

  • St. Blumenthal
  • R. Aschoff-Pluta
  • V. Bell
  • E. Lungershausen
  • R. Vogel

Abstract

The problem of readmission to in-patient psychiatric treatment was examined in the past mainly with patients, who had previous admissions yet, the results of a great number of investigations proved to be contradictory. Some investigations (e.g. Viesselman, J. et al., 1975) see the diagnosis and the seriousness of the symptoms connected with the problem of readmission. Other studies (e.g. Jansen, D. & Nickles, L., 1973) do not find this difference. The question as to whether the readmission rate depends on the job situation also does not seem to be fully answered (e.g. Lorei, T. & Gurel, L., 1972). One of the few variables which were found as a predictor of a rehospitalization of psychiatric patients trough-out is the variable ‘number of previous admissions’ (c.f. Rosenblatt, A. & Mayer, J., 1974). One reason why it was this variable that proved to be decisive can be seen in the fact that practically all investigations concerning readmission were carried out as retrospective studies. This result, however, has no practical relevance for measures which could prevent a chronic development or readmission after the first hospitalization. But results concerning the risk factors of readmission would be highly important for the psychiatrist at the time of admission. Such insights, however, can only be gained in a prospective study.

Keywords

Personality Disorder Drug Addiction Readmission Rate Discharge Diagnosis Diagnosis Group 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Jansen, D.G. and Nickles, L.A., 1973, Variables that differentiate between single-and multiple-admission psychiatric patients at a state hospital over a 5-year period, Journal of Clin. Psychol., 29: 83.CrossRefGoogle Scholar
  2. LOREI, T.W. and Gurel, L., 1972, Use of a biographical inventory to predict schizophrenics posthospital employment and read-mission, Journal of Consulting and Clinical Psychology, 38: 238.PubMedCrossRefGoogle Scholar
  3. Rosenblatt, A. and Mayer, J.E., 1974, The recidivism of mental patients: A review of past studies, Amer. Journal of Orthopsychiat., 44: 697.CrossRefGoogle Scholar
  4. Viesselman, J.O., Spalt, L.H. and Tuason, V.B., 1975, Psychiatric disorders in a community mental health center. II. Who gets readmitted? Comprehensive Psychiatry, 16: 485.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • St. Blumenthal
    • 1
  • R. Aschoff-Pluta
    • 1
  • V. Bell
    • 1
  • E. Lungershausen
    • 1
  • R. Vogel
    • 1
  1. 1.Bezirkskrankenhaus GünzburgAbt. Psychiatrie II der Universität UlmGermany

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