Psychiatric services : a journal of the American Psychiatric Association
-
Comparative Study
Psychiatric emergency service use after implementation of managed care in a public mental health system.
This study examined whether implementation of managed care in a public mental health system affected return visits to psychiatric emergency services within 180 days of an index visit. ⋯ Managed care strategies are often used to reduce reliance on emergency services. In this study, managed care delayed, rather than prevented, return visits to the psychiatric emergency service.
-
Comparative Study
Trends in U.S. emergency department visits for mental health conditions, 1992 to 2001.
The objective of this study was to ascertain trends in mental health-related visits to U.S. emergency departments. ⋯ Mental health-related visits constitute a significant and increasing burden of care in U.S. emergency departments.
-
Comparative Study
Medical advance care planning for persons with serious mental illness.
This study examined preferences regarding medical advance care planning among persons with serious mental illness, specifically, experience, beliefs, values, and concerns about health care proxies and end-of-life issues. ⋯ Although persons with serious and persistent mental illness have little experience with medical advance care planning, they show substantial interest in it. Furthermore, they are able to consider and communicate their preferences. This study supports the feasibility, acceptability, and utility of a standardized approach to medical advance care planning with this population.