Characteristics of short-stay admissions to a psychiatric inpatient service

Daniel Yohanna, Nina J. Christopher, John S. Lyons, Sheldon I. Miller, Marcia Slomowitz, Janice K. Bultema

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Since the rapid expansion of managed care coupled with dramatic reductions in lengths of inpatient stays, there is widespread concern that the emphasis on cost containment is eclipsing attention to patient care. The present study was undertaken to evaluate speculations that the majority of short-stay (less than 48 hours) admissions to a psychiatric inpatient service at a large teaching hospital in the midwestern United States consisted of public pay patients who were rapidly transferred to area state hospitals. Using two case mix measures, severity of illness and changes in acuity and clinical outcomes of a sample of short-stay (n = 77) and longer stay (n = 145) admissions were compared. Short-stay admissions, although similar to longer stay patients in terms of demographics, Axis I diagnosis, payer status, and appropriateness of admission, are clinically distinct. The use of nonhospital alternatives in treating a subsample of suicidal patients and the implications for improved mental health service delivery are discussed.

Original languageEnglish
Pages (from-to)337-345
Number of pages9
JournalJournal of Behavioral Health Services and Research
Issue number3
StatePublished - Aug 1998

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health


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