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- Title
Outcomes for Patients Discharged to Involuntary Commitment for Substance Use Disorder Directly from the Hospital.
- Authors
Messinger, John C.; Vercollone, Lisa; Weiner, Scott G.; Bromstedt, William; Garner, Carol; Garza, Jacqueline; Joseph, Joshua W.; Sanchez, Leon D.; Im, Dana; Bukhman, Alice K.
- Abstract
To evaluate the outcomes of patients discharged to involuntary commitment for substance use disorders directly from the hospital. We performed a retrospective chart review of 22 patients discharged to involuntary commitment for substance use disorder from the hospital between October 2016 and February 2020. We collected demographic data, details about each commitment episode, and healthcare utilization outcomes 1 year following involuntary commitment. Nearly all patients had a primary alcohol use disorder (91%) and had additional medical (82%) and psychiatric comorbidities (71%). One year following involuntary commitment, all patients had relapsed to substance use and had at least one emergency department visit while 78.6% had at least one admission. These findings suggest that patients discharged to involuntary commitment directly from the hospital universally relapsed and experienced significant medical morbidity during the first year following their release. This study adds to a growing literature recognizing the harms of involuntary commitment for substance use disorder.
- Subjects
HEALTH policy; SUBSTANCE abuse; ALCOHOLISM; HOSPITAL emergency services; DUAL diagnosis; RETROSPECTIVE studies; ACQUISITION of data; PATIENTS; DISEASES; DISEASE relapse; HOSPITAL admission &; discharge; INVOLUNTARY hospitalization; MEDICAL care use; HOSPITAL care; MEDICAL records; DESCRIPTIVE statistics; MEDICAL appointments; COMORBIDITY
- Publication
Community Mental Health Journal, 2023, Vol 59, Issue 7, p1300
- ISSN
0010-3853
- Publication type
Article
- DOI
10.1007/s10597-023-01112-2