Community Mental Health Journal

, Volume 51, Issue 2, pp 190–197 | Cite as

Hospital Readmission Rates and Emergency Department Visits for Mental Health and Substance Abuse Conditions

  • Mark W. Smith
  • Carol Stocks
  • Patricia B. Santora
Original Paper


Community hospital stays in 12 states during 2008–2009 were analyzed to determine predictors of 12-month hospital readmission and emergency department (EDs) revisits among persons with a mental health or substance abuse diagnosis. Probabilities of hospital readmission and of ED revisits were modeled as functions of patient demographics, insurance type, number of prior-year hospital stays, diagnoses and other characteristics of the initial stay, and hospital characteristics. Alcohol or drug dependence, dementias, psychotic disorders, autism, impulse control disorders, and personality disorders were most strongly associated with future inpatient admission or ED revisits within 12 months of initial encounter. Insurance type, including uninsured status, were highly significant (p < .01) predictors of both readmission and ED revisits.


Alcohol-related disorders Drug-related disorders Mental disorders Anxiety disorders Emergency service Hospital readmissions 



Funding was provided by the Substance Abuse and Mental Health Services Administration and the Agency for Healthcare Research and Quality (Contract HHSA-290-2006-00009-C). We gratefully acknowledge programming support from Minya Sheng, Nils Nordstrand, and David Ross.


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Copyright information

© Springer Science+Business Media New York (Outside USA) 2014

Authors and Affiliations

  • Mark W. Smith
    • 1
  • Carol Stocks
    • 2
  • Patricia B. Santora
    • 3
  1. 1.Truven Health AnalyticsBethesdaUSA
  2. 2.Center for Delivery, Organization and MarketsAgency for Healthcare Research and QualityRockvilleUSA
  3. 3.Center for Substance Abuse TreatmentSubstance Abuse and Mental Health Services AdministrationRockvilleUSA

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