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Paths and Gates

The Sources of Recidivism and Length of Stay on a Psychiatric Ward

Bibliographic Data

ID9103862
AuthorsJames E Gruber (0009-0000-7294-1342, University of Michigan–Dearborn, corresponding author)
Year1982
Volume20
Issue12
Pages1197-1208
Publication date1982-12-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198212000-00006
PMID7176731
OpenAlexW1990340158
LanguageEN
Citations received3
References cited8

Four "pathway" (age, sex, social class, and number of dependents) and three "gatekeeper" (previous admission, previous ward terms, and severity of patient disorder) variables are used to predict recidivism rates and lengths of stay for patients admitted to a psychiatric ward in a general hospital during a 1-year period. There were three major findings. First, the gatekeeper variables were, by themselves, useful for predicting length of stay; additional information, in the form of the pathway variables, was needed to adequately explain differences in recidivism. Second, while most of the effects on recidivism were direct, most of the effects on length of stay were indirect or mediated through the variable of the severity of patient problems. Third, it was discovered that recidivism and length of stay are inversely related: patients with high recidivism rates, for example, tend to have relatively short average lengths of stay. Based on four patterns of recidivism and length of stay, a typology was developed to facilitate a better understanding of patient behavior

Psychiatry · Recidivism · Typology · Child and Adolescent Psychosocial and Emotional Development · Healthcare Decision-Making and Restraints · Medicine · Mental Health Treatment and Access · Psychology

  • Psychiatric Severity of Illness

    Susan D Horn, Angela F Chambers et al.•Medical Care•1989

  • Identifying Catastrophic Psychiatric Cases

    Jill M Goldstein, Ellen L Bassuk et al.•Medical Care•1988

  • Factors Associated with Rapid Readmission Among Nevada State Psychiatric Hospital Patients

    Open Access•Christopher Owen Moore, Sheniz Moonie et al.•Community Mental Health Journal•2018

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    August B Hollingshead, Fredrick C Redlich•American Journal of Public Health•2007

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    Thomas J Scheff•Being Mentally Ill•2017

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    Allan V Horwitz, Allan Horwitz•Journal of Health and Social…•1977

Citations per year0.08
Citation span1988 - 2018 (31)
Highly citedNo

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