Follow-Up Care After Behavioral Health-Related Hospitalization for Children and Adolescents
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ORIGINAL PAPER
Follow‑Up Care After Behavioral Health‑Related Hospitalization for Children and Adolescents Sean Lynch1 · Whitney Witt2 · Mir M. Ali3 · Judith Teich1 · Ryan Mutter4 · Brent Gibbons5 · Christine Walsh6 Received: 13 February 2019 / Accepted: 12 February 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Although the coordination of follow-up behavioral health-related care between hospitals and outpatient behavioral health care settings is important, studies on this topic are few. Claims were selected from Truven Health Analytics’ Marketscan databases during 2014 for youth aged 2–18 years who had an inpatient stay with a behavioral health diagnosis. Analyses identified whether youth received a behavioral health follow-up visit within 30 days following a hospitalization. The percentage of children who received post-hospitalization follow-up care was 59.1% (Medicaid) and 59.4% (private insurance). While children less than 15 years old (Medicaid) had increased odds of follow-up care compared with youth aged 15–18 years, children 2–9 years old with commercial insurance had decreased odds of follow-up care. Variations in follow-up care by patient characteristics provide an opportunity to target efforts to increase coordinated care to those who are least likely to receive it. Keywords Hospital · Care coordination · Follow-up care · Children · Substance use disorder · Behavioral health
Introduction The effectiveness of psychiatric inpatient treatment generally hinges on the connection of those services to the availability of outpatient services in the local behavioral health system, and the ability of the patient to find appropriate follow-up care in a timely manner. The primary role of psychiatric inpatient services is stabilization and referral to community-based behavioral health services; however, the time period in which to accomplish this task has declined over the past two decades (Daniel et al. 2004). This process often takes place in a matter Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10597-020-00585-9) contains supplementary material, which is available to authorized users. * Sean Lynch [email protected] 1
Behavioral Health Scientist, Rockville, MD, USA
2
Lehigh University, Bethlehem, PA, USA
3
Dept. of Health Policy & Management, University of Maryland, College Park, MD, USA
4
University of Maryland Baltimore County, Baltimore, MD, USA
5
National University of Singapore, Singapore, Singapore
6
University of North Carolina Chapel Hill, Chapel Hill, NC, USA
of a few days, as the median length of stay in community hospitals for behavioral health disorders among youth up to age 17 was only 4.7 days in 2010, with a range of 4.4 days for adjustment disorders to 11.3 days for schizophrenia and other psychotic disorders (Substance Abuse and Mental Health Services Administration 2013). Surveillance efforts suggest that the prevalence of behavioral health disorders among children in the United Sta
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