Utilization of local jails and general hospitals by state psychiatric center patients

The idea that the deinstitutionalization of state psychiatric centers has resulted in increased utilization of general hospitals and correctional facilities by people with severe and persistent mental illness is widely held. This hypothesis of trans-institutionalization was tested by examining hospi...

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Bibliographic Details
Published in:The journal of behavioral health services & research 2000-11, Vol.27 (4), p.454-459
Main Authors: Banks, S M, Stone, J L, Pandiani, J A, Cox, J F, Morschauser, P C
Format: Article
Language:English
Subjects:
Care and treatment
Cohort Studies
Commitment of Mentally Ill - trends
Correctional institutions
Datasets
Deinstitutionalization
Deinstitutionalization - trends
Female
Hospitalization
Hospitals
Hospitals, General - statistics & numerical data
Hospitals, General - utilization
Hospitals, Psychiatric - statistics & numerical data
Hospitals, State - statistics & numerical data
Humans
Hypotheses
Imprisonment
Institutionalization - trends
Law enforcement
Male
Medical sector
Mental disorders
Mental health
Mental health care
Mentally ill
New York
New York State
Outcome and Process Assessment (Health Care)
Patients
Population
Prisons
Prisons - statistics & numerical data
Prisons - utilization
Psychiatric disorders
Psychiatric services
Retrospective Studies
Statistical analysis
United States
USA
Women
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Summary:The idea that the deinstitutionalization of state psychiatric centers has resulted in increased utilization of general hospitals and correctional facilities by people with severe and persistent mental illness is widely held. This hypothesis of trans-institutionalization was tested by examining hospitalization and incarceration rates of people who had been or would be institutionalized in state psychiatric centers in 16 upstate New York counties. The results do not support the hypothesis of trans-institutionalization. Assumptions underlying the hypothesis are examined, potential explanations for the observed patterns are discussed, and areas for further research are suggested.
ISSN:1094-3412
1556-3308
DOI:10.1007/BF02287827