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An Analysis of Relationships Among Peer Support, Psychiatric Hospitalization, and Crisis Stabilization

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Abstract

This study’s objective was to investigate how peer support relates to psychiatric hospitalization and crisis stabilization utilization outcomes. The likelihood of experiencing a psychiatric hospitalization or a crisis stabilization was modeled for consumers using peer support services and a control group of consumers using community mental health services but not peer support with 2003 and 2004 Georgia Medicaid claims data; 2003 and 2004 Mental Health, Developmental Disability, and Addictive Diseases (MHDDAD) Community Information System data; and 2003 and 2004 MHDDAD Hospital Information System data. Peer support was associated with an increased likelihood (odds = 1.345) of crisis stabilization, a decreased but statistically insignificant likelihood (odds = 0.871) of psychiatric hospitalization overall, and a decreased and statistically significant (odds = .766) likelihood of psychiatric hospitalization for those who did not have a crisis stabilization episode.

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Notes

  1. Services for individuals with serious and persistent mental illness are managed in Georgia by the MHDDAD and financed with state and federal funds administered by MHDDAD and by the Georgia Department of Community Health through the state Medicaid program (Georgia Department of Human Resources, Division of Mental Health, Developmental Disabilities, and Addictive Diseases 2007a, b). Services are delivered within five state regions by 25 Community Services Boards. Psychiatric hospital services are available in seven state facilities across the five regions, and crisis stabilization services are supplied through contracted providers on a fee-for-services basis. Both are supported directly with state and federal MHDDAD funds.

  2. Psychiatric hospital claims do not include detoxification services.

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Correspondence to Glenn M. Landers.

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Landers, G.M., Zhou, M. An Analysis of Relationships Among Peer Support, Psychiatric Hospitalization, and Crisis Stabilization. Community Ment Health J 47, 106–112 (2011). https://doi.org/10.1007/s10597-009-9218-3

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