Abstract

Objectives To evaluate continuity of care after acute involuntary admission. The correlation between deinstitutionalization, patients not receiving appropriate mental healthcare (discontinuity of care), and involuntary hospitalizations has been frequently hypothesized, but not often tested [1]. The effect of deinstitutionalization may be counterbalanced by integration of services [2]. We expected better continuity of care and fewer readmissions after deinstitutionalization in areas where services have better collaborative or formal relationships.

Highlights

  • Retrospective study, periods 1991 to 1993 and 2001 to 2003, using administrative data of the psychiatric case register for Rotterdam, the Netherlands

  • The use of involuntary admission has changed in the study period

  • Some continuity-of-care measures were related to integrated services vs least formalized approaches, but overall we found moderate differences

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Summary

Objectives

To evaluate continuity of care after acute involuntary admission. The correlation between deinstitutionalization, patients not receiving appropriate mental healthcare (discontinuity of care), and involuntary hospitalizations has been frequently hypothesized, but not often tested [1]. The effect of deinstitutionalization may be counterbalanced by integration of services [2]. We expected better continuity of care and fewer readmissions after deinstitutionalization in areas where services have better collaborative or formal relationships

Methods
Conclusion
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