Outcomes of a Care Coordination Guardianship Intervention for Adults with Severe Mental Illness: An Interrupted Time Series Analysis

Adm Policy Ment Health. 2020 May;47(3):468-474. doi: 10.1007/s10488-019-01005-1.

Abstract

This study investigates the impacts of an intensive care coordination intervention for adults with severe mental illness who have guardians. Program impacts on medical and legal outcomes were assessed using interrupted time series analysis. Program participation was associated with statistically significant reductions in the level and trend of psychiatric hospitalizations, number of days in psychiatric hospitals, emergency room visits, and arrests. Days incarcerated did not change significantly. The decrease in medical and legal outcomes may be associated with decreased spending on these services. The program and other intensive care coordination interventions for this population warrant further replication and research.

Keywords: Care coordination; Chronic mental illness; Guardianship; Program evaluation.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chronic Disease*
  • Female
  • Hospitalization
  • Hospitals, Psychiatric
  • Humans
  • Interrupted Time Series Analysis
  • Legal Guardians*
  • Male
  • Mental Disorders / physiopathology*
  • Mental Disorders / therapy
  • Middle Aged
  • Outcome Assessment, Health Care
  • Patient Care*
  • Program Evaluation
  • Severity of Illness Index*