Abstract

According to the United Nations, curtailing the rise of mental illness and drug abuse has been an important goal for sustainable development of member states. In the United States, reducing readmission rates for mental health and drug abuse patients is critical, given the rising health care costs and a strained health care system. This study aims to examine economic and social factors that predict readmission likelihood for mental health and drug abuse patients in the state of New York. Patient admission data of 25,846 mental health patients and 32,702 drug abuse patients with multiple visits in New York hospitals in 2015 were examined. Findings show that economic factors like income level and payment type impact readmission rates differently: The poorest patients were less likely to get readmitted while patients with higher incomes were likely to experience drug relapse. Regarding social factors, mental health patients who lived in neighborhoods with high social capital were less likely to be readmitted, but drug abuse patients in similar areas were more likely to be readmitted. The findings show that policy-makers and hospital administrators need to approach readmission rates differently for each group of patients.

Highlights

  • In 2013, the 66th World Health Assembly adopted a comprehensive plan to curtail the rise of mental illness and drug abuse worldwide [1]

  • Hospitals have been categorizing readmission rates between drug abuse patients with mental health patients [5,27,31,32]. It is unknown what the effect of distinguishing the readmission data into its respective disease could have on readmission rates

  • While many patients are comorbid patients, this study found that the effects vary in each group, it is important to have different and separate policies to reduce readmission rates for patients with different types of diseases

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Summary

Introduction

In 2013, the 66th World Health Assembly adopted a comprehensive plan to curtail the rise of mental illness and drug abuse worldwide [1]. Since treating mental health and drug abuse has always been integrated into the United Nations (UN) platform to promote sustainable development among member states [2]. Responding to this, various studies have focused on factors that can predict and curtail mental illness and drug abuse in various contexts [3,4,5,6,7]. In the United States (US), mental health and drug abuse patients have steadily increased in recent years. According to the 2017 National Survey on Drug Use and Health, nearly one in five US adults suffered from a mental health condition, and one in eight

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