Medicaid enrollment and mental health service use following release of jail detainees with severe mental illness.
Medicaid enrollment and mental health service use following release of jail detainees with severe mental illness.
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患有严重精神疾病的监狱被拘留者获释后参加医疗补助和使用心理健康服务。
DOI：
10.1176/ps.2006.57.6.809
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Cuddeback,GaryS
中科院分区：
文献类型：
--
作者：
Morrissey,JosephP;Steadman,HenryJ;Dalton,KathleenM;Cuellar,Alison;Stiles,Paul;Cuddeback,GaryS
ESTA研究评估了医疗补助注册增加获得和使用服务的人从jails.MethodsA前瞻性队列设计后，从两个大城市地区的几个机构的行政数据连接的严重精神疾病的程度：金县（西雅图），1996年至1998年和皮内拉斯县（清水和彼得堡），佛罗里达，1998年至2000年。从监狱释放后90天内获得和使用社区精神卫生服务的情况进行了检查，这取决于人们在释放时是否参加了医疗补助计划。所有分析都是基于拘留，而不是基于特定的人。医疗补助状态的影响（入组或未入组）四个因变量（使用的概率，第一次服务的天数，使用的服务数量，和服务使用率）分别估计为每个county.ResultsA共有1，210人谁有2，878拘留被确定在皮内拉斯县：其中2，215人是有医疗补助的人，663人是没有医疗补助的人。在金郡，相应的数字是1 816人和4 482人被拘留：其中2 752人是有医疗补助的人，1 730人是没有医疗补助的人。在这两个县，那些在释放时有医疗补助的人更有可能使用服务（p<。001），更快地获得社区服务（p<. 001），并获得更多的服务天数（p<. 001)比那些没有Medicaid.ConclusionsMedicaid注册增强监狱释放后，在这两个大的城市县接受社区服务。这些是目前最好的数据，这些数据表明，努力将患有严重精神疾病的人纳入医疗补助计划，并确保在监狱释放后登记，将改善他们在释放后获得和接受社区服务的机会。（精神病学服务57：809-815，2006）
ObjectiveThis study assessed the extent to which Medicaid enrollment increased access to and use of services by persons with severe mental illness after their release from jail.MethodsA prospective cohort design was used that linked administrative data from several agencies in two large urban areas: King County (Seattle) from 1996 to 1998 and Pinellas County (Clearwater and St. Petersburg), Florida, from 1998 to 2000. Access to and use of community mental health services within 90 days after release from jail was examined, depending on whether persons were enrolled in Medicaid at the time of their release. All analyses were based on detentions, rather than unique persons. The effects of Medicaid status (enrolled or not enrolled) on four dependent variables (probability of use, days to first service, number of services used, and rate of service use) were estimated separately for each county.ResultsA total of 1,210 persons who had 2,878 detentions were identified in Pinellas County: 2,215 of these detentions represented persons with Medicaid and 663 represented those without Medicaid. For King County, the corresponding numbers were 1,816 persons and 4,482 detentions: 2,752 of these detentions represented persons with Medicaid and 1,730 represented those without Medicaid. In both counties, those who had Medicaid at the time of their release were more likely to use services (p<. 001), accessed community services more quickly (p<. 001), and received more days of services (p<. 001) than those without Medicaid.ConclusionsMedicaid enrollment enhanced receipt of community services after jail release in these two large urban counties. These are the best currently available data, and the data suggest that efforts to enroll persons with severe mental illness in Medicaid and ensure enrollment upon jail release will improve their access to and receipt of community-based services after release.(Psychiatric Services 57: 809–815, 2006)
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DOI：
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发表时间：
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