Utilization of local jails and general hospitals by state psychiatric center patients.

DEINSTITUTIONALIZATION; COMMUNITY-based corrections; COMMUNITY mental health services; HOSPITAL statistics; PSYCHIATRIC hospital statistics; CORRECTIONAL institutions; HOSPITALS; INSTITUTIONAL care; LONGITUDINAL method; EVALUATION of medical care; PUBLIC hospitals; INVOLUNTARY hospitalization; RETROSPECTIVE studies

The idea that the deinstitutionalization of state psychiatric centers has resulted in increased utilization of general hospitals and correctional facilities by people with severe and persistent mental illness is widely held. This hypothesis of trans-institutionalization was tested by examining hospitalization and incarceration rates of people who had been or would be institutionalized in state psychiatric centers in 16 upstate New York counties. The results do not support the hypothesis of trans-institutionalization. Assumptions underlying the hypothesis are examined, potential explanations for the observed patterns are discussed, and areas for further research are suggested. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)