ArticlePsychiatric services (Washington, D.C.)2017
Reducing Behavioral Health Inpatient Readmissions for People With Substance Use Disorders: Do Follow-Up Services Matter?
Article in Psychiatric services (Washington, D.C.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Substance Use Disorder Treatment Outcomes: Methodological Overview of Metrics and Criteria.International journal of methods in psychiatric research · 2025Pooled it
- Outpatient follow-up and use of medications for opioid use disorder after residential treatment among Medicaid enrollees in 10 states.Drug and alcohol dependence · 2022Pooled it
- Hospital Addiction Consultation Service and Opioid Use Disorder Treatment: The START Randomized Clinical Trial.JAMA internal medicine · 2025Trial
- Parent SMART: Effects of residential treatment and an adjunctive parenting intervention on behavioral health services utilization.Journal of substance use and addiction treatment · 2024Trial
- Hospital admissions among patients with Comorbid Substance Use disorders: a secondary analysis of predictors from the NavSTAR Trial.Addiction science & clinical practice · 2024Trial
- Contextual barriers and enablers to establishing an addiction-focused consultation team for hospitalized adults with opioid use disorder.Addiction science & clinical practice · 2024Trial
- Rural Clients' Continuity Into Follow-Up Substance Use Disorder Treatment: Impacts of Travel Time, Incentives, and Alerts.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020Trial
- Predictors of outpatient treatment engagement following a visit to a specialized emergency department for substance use: A cohort study using high-resolution electronic health records.Addiction (Abingdon, England) · 2026Article
- Initiating Medications During Hospitalization and Strategies for Ensuring Linkage at Discharge for Patients With Opioid Use Disorder: A Scoping Review.American journal of medicine open · 2025Review
- Assessing the Impact of Psychiatric Deinstitutionalization and Substance Use on Patient Outcomes: A Multi-Faceted Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Rates and factors for 30-day readmission in patients with substance use disorders during the COVID-19 pandemic.Frontiers in psychiatry · 2025Article
- Non-overdose acute care hospitalizations for opioid use disorder among commercially-insured adults: a retrospective cohort study.Addiction science & clinical practice · 2023Article
- Individual factors predict substance use treatment course patterns among patients in community-based substance use disorder treatment.PloS one · 2023Article
- Characteristics of 30-Day All-Cause Hospital Readmissions Among Patients with Acute Pancreatitis and Substance Use.Digestive diseases and sciences · 2022Article
- Racial/Ethnic Disparities in Substance Use Treatment in Medicaid Managed Care in New York City: The Role of Plan and Geography.Medical care · 2022Article
- Readmission of Patients to Acute Psychiatric Hospitals: Influential Factors and Interventions to Reduce Psychiatric Readmission Rates.Healthcare (Basel, Switzerland) · 2022Review
- The Substance Use Treatment and Recovery Team (START) study: protocol for a multi-site randomized controlled trial evaluating an intervention to improve initiation of medication and linkage to post-discharge care for hospitalized patients with opioid use disorder.Addiction science & clinical practice · 2022Article
- First Nations' hospital readmission ending in death: a potential sentinel indicator of inequity?International journal of circumpolar health · 2021Article
- Substance Use, PTSD Symptoms, and Suicidal Ideation Among Veteran Psychiatry Inpatients: A Latent Class Trajectory Analysis.Journal of studies on alcohol and drugs · 2021Article
- Increasing Engagement in Post-Withdrawal Management Services Through a Practice Bundle and Checklist.The journal of behavioral health services & research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveIndividuals with substance use disorders are at high risk of hospital readmission. This study examined whether follow-up services received within 14 days of discharge from an inpatient hospital stay or residential detoxification reduced 90-day readmissions among Medicaid enrollees whose index admission included a substance use disorder diagnosis.
methodsClaims data were analyzed for Medicaid enrollees ages 18-64 with a substance use disorder diagnosis coded in any position for an inpatient hospital stay or residential detoxification in 2008 (N=30,439). Follow-up behavioral health services included residential, intensive outpatient, outpatient, and medication-assisted treatment (MAT). Analyses included data from ten states or fewer, based on a minimum number of index admissions and the availability of follow-up services or MAT. Survival analyses with time-varying independent variables were used to test the association of receipt of follow-up services and MAT with behavioral health readmissions.
resultsTwo-thirds (67.7%) of these enrollees received no follow-up services within 14 days. Twenty-nine percent were admitted with a primary behavioral health diagnosis within 90 days of discharge. Survival analyses showed that MAT and residential treatment were associated with reduced risk of 90-day behavioral health admission. Receipt of outpatient treatment was associated with increased readmission risk, and, in only one model, receipt of intensive outpatient services was also associated with increased risk.
conclusionsProvision of MAT or residential treatment for substance use disorders after an inpatient or detoxification stay may help prevent readmissions. Medicaid programs should be encouraged to reduce barriers to MAT and residential treatment in order to prevent behavioral health admissions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.