ArticleEpidemiology and psychiatric sciences2019
Homelessness at discharge and its impact on psychiatric readmission and physician follow-up: a population-based cohort study.
Article in Epidemiology and psychiatric sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Psychosocial Factors Associated with Psychiatric Readmission Following Inpatient Discharge: A Systematic Review.Community mental health journal · 2026Article
- Predictors of psychiatric emergency department visits within twelve months post-inpatient psychiatric discharge in Alberta, Canada.PloS one · 2026Observational
- Predictors of psychiatric readmission within 12 months following discharge from inpatient units in Alberta, Canada.Global mental health (Cambridge, England) · 2026Article
- Gangrenous Cholecystitis in a 54-Year-Old Male With Schizophrenia and Other Barriers to Care: A Case Report.Cureus · 2025Article
- People experiencing homelessness requiring psychiatric review in prison, a study of a male and female remand prison over 1 year period.Irish journal of medical science · 2025Article
- Regional Variation in Supply and Use of Psychiatric Services in 3 Canadian Provinces: Variation régionale de l'offre de services psychiatriques et de leur utilisation dans trois provinces canadiennes.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2025Article
- A non-randomised controlled trial of a community-based accommodation and psychosocial support programme for adults experiencing mental illness and homelessness.The Australian and New Zealand journal of psychiatry · 2024Article
- Substance-related poisoning hospitalizations and homelessness in Canada: a descriptive study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Article
- Factors associated with the revolving door phenomenon in patients with schizophrenia: results from an acute psychiatric hospital in Romania.Frontiers in psychiatry · 2024Article
- Association of homelessness and psychiatric hospital readmission-a retrospective cohort study 2016-2020.BMC psychiatry · 2023Article
- Risk of psychiatric readmission in the homeless population: A 10-year follow-up study.Frontiers in psychology · 2023Article
- Factors Associated With Hospital Readmission Among Patients Experiencing Homelessness.American journal of preventive medicine · 2022Article
- Determinants of Hospital Use and Physician Services Among Adults With a History of Homelessness.Health services insights · 2022Article
- Evaluating the Impact of a Critical Time Intervention Adaptation on Health Care Utilization among Homeless Adults with Mental Health Needs in a Large Urban Center.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Avoiding revolving door and homelessness: The need to improve care transition interventions in psychiatry and mental health.Frontiers in psychiatry · 2022Article
- Insights from homeless men about PRISM, an innovative shelter-based mental health service.PloS one · 2021Article
- Predicting hospitalization following psychiatric crisis care using machine learning.BMC medical informatics and decision making · 2020Article
- Risk factors of hospitalization for any medical condition among patients with prior emergency department visits for mental health conditions.BMC psychiatry · 2020Article
- Disparities in triage and management of the homeless and the elderly trauma patient.Injury epidemiology · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsA significant proportion of adults who are admitted to psychiatric hospitals are homeless, yet little is known about their outcomes after a psychiatric hospitalisation discharge. The aim of this study was to assess the impact of being homeless at the time of psychiatric hospitalisation discharge on psychiatric hospital readmission, mental health-related emergency department (ED) visits and physician-based outpatient care.
methodsThis was a population-based cohort study using health administrative databases. All patients discharged from a psychiatric hospitalisation in Ontario, Canada, between 1 April 2011 and 31 March 2014 (N = 91 028) were included and categorised as homeless or non-homeless at the time of discharge. Psychiatric hospitalisation readmission rates, mental health-related ED visits and physician-based outpatient care were measured within 30 days following hospital discharge.
resultsThere were 2052 (2.3%) adults identified as homeless at discharge. Homeless individuals at discharge were significantly more likely to have a readmission within 30 days following discharge (17.1 v. 9.8%; aHR = 1.43 (95% CI 1.26-1.63)) and to have an ED visit (27.2 v. 11.6%; aHR = 1.87 (95% CI 1.68-2.0)). Homeless individuals were also over 50% less likely to have a psychiatrist visit (aHR = 0.46 (95% CI 0.40-0.53)).
conclusionHomeless adults are at higher risk of readmission and ED visits following discharge. They are also much less likely to receive post-discharge physician care. Efforts to improve access to services for this vulnerable population are required to reduce acute care service use and improve care continuity.
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