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Continuing medication and hospitalization outcomes after assisted outpatient treatment in New York.

Publication ,  Journal Article
Van Dorn, RA; Swanson, JW; Swartz, MS; Wilder, CM; Moser, LL; Gilbert, AR; Cislo, AM; Robbins, PC
Published in: Psychiatr Serv
October 2010

OBJECTIVE: This study examined whether persons with mental illness who undergo a period of involuntary outpatient commitment continue to receive prescribed medications and avoid psychiatric hospitalization after outpatient commitment ends. METHODS: Data on Medicaid pharmacy fills and inpatient treatment were used to describe patterns of medication possession and hospitalization for persons with mental illness after they received assisted outpatient treatment (AOT) in New York between 1999 and 2007 (N=3,576). Multivariable time-series analysis was used to compare post-AOT periods to pre-AOT periods. RESULTS: For former AOT recipients, sustained improvements in rates of medication possession and hospitalization in the post-AOT period varied according to the length of time spent in court-ordered treatment. When the court order for AOT was for six months or less, improved medication possession rates and reduced hospitalization were sustained in the post-AOT period only when intensive case coordination services (assertive community treatment, intensive case management, or both) were kept in place. However, when the court order was for seven months or more, improved medication possession rates and reduced hospitalization outcomes were sustained even when the former AOT recipients were no longer receiving intensive case coordination services. CONCLUSIONS: Benefits of involuntary outpatient commitment, as indicated by improved rates of medication possession and decreased hospitalizations, were more likely to persist after involuntary outpatient commitment ends if it is kept in place longer than six months.

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Published In

Psychiatr Serv

DOI

EISSN

1557-9700

Publication Date

October 2010

Volume

61

Issue

10

Start / End Page

982 / 987

Location

United States

Related Subject Headings

  • Psychiatry
  • Outcome Assessment, Health Care
  • New York
  • Middle Aged
  • Mentally Ill Persons
  • Mental Disorders
  • Medication Adherence
  • Medical Audit
  • Male
  • Insurance Claim Review
 

Citation

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ICMJE
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Van Dorn, R. A., Swanson, J. W., Swartz, M. S., Wilder, C. M., Moser, L. L., Gilbert, A. R., … Robbins, P. C. (2010). Continuing medication and hospitalization outcomes after assisted outpatient treatment in New York. Psychiatr Serv, 61(10), 982–987. https://doi.org/10.1176/ps.2010.61.10.982
Van Dorn, Richard A., Jeffrey W. Swanson, Marvin S. Swartz, Christine M. Wilder, Lorna L. Moser, Allison R. Gilbert, Andrew M. Cislo, and Pamela Clark Robbins. “Continuing medication and hospitalization outcomes after assisted outpatient treatment in New York.Psychiatr Serv 61, no. 10 (October 2010): 982–87. https://doi.org/10.1176/ps.2010.61.10.982.
Van Dorn RA, Swanson JW, Swartz MS, Wilder CM, Moser LL, Gilbert AR, et al. Continuing medication and hospitalization outcomes after assisted outpatient treatment in New York. Psychiatr Serv. 2010 Oct;61(10):982–7.
Van Dorn, Richard A., et al. “Continuing medication and hospitalization outcomes after assisted outpatient treatment in New York.Psychiatr Serv, vol. 61, no. 10, Oct. 2010, pp. 982–87. Pubmed, doi:10.1176/ps.2010.61.10.982.
Van Dorn RA, Swanson JW, Swartz MS, Wilder CM, Moser LL, Gilbert AR, Cislo AM, Robbins PC. Continuing medication and hospitalization outcomes after assisted outpatient treatment in New York. Psychiatr Serv. 2010 Oct;61(10):982–987.
Journal cover image

Published In

Psychiatr Serv

DOI

EISSN

1557-9700

Publication Date

October 2010

Volume

61

Issue

10

Start / End Page

982 / 987

Location

United States

Related Subject Headings

  • Psychiatry
  • Outcome Assessment, Health Care
  • New York
  • Middle Aged
  • Mentally Ill Persons
  • Mental Disorders
  • Medication Adherence
  • Medical Audit
  • Male
  • Insurance Claim Review