Key result
Intensive community support linked to ~80% fewer hospital days and events.
Why the study?
Patients with repeated and/or lengthy hospitalizations require evaluation of stabilization during intensive community support programs.
Does an intensive community support program improve stabilization in patients with a history of repeated hospitalizations?
Observational (n=196)
Does an intensive community support program improve stabilization in patients with a history of repeated hospitalizations?
Effect estimate: 80% reduction
An intensive community support program significantly reduced hospitalizations, incarcerations, and costs while improving patient satisfaction over 4 years.
May support community programs for frequent hospital users; leaves open causal efficacy pending RCTs.
The first 4 years of an intensive community support program were evaluated in terms of key variables of patient stabilization. Patients (N = 196) had previously demonstrated an inability to manage themselves without repeated and/or lengthy hospitalizations. During program participation, there were significant reductions in hospital days and events (80%), jail incarcerations and charges, billings per patient, and stressful events. Patients reported increased satisfaction both with their lives and the program. The results support the value of continued multidimensional and multimethod examinations of patient stabilization.
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Wright et al. (1989) conducted an observational in Patients with a history of repeated and/or lengthy hospitalizations (n=196). Intensive community support program vs. Pre-program history was evaluated on Hospital days and events (80% reduction). Participation in a 4-year intensive community support program was associated with an 80% reduction in hospital days and events, as well as decreased incarcerations and increased patient satisfaction.
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