@article{ref1,
title="The effectiveness of a peer-staffed crisis respite program as an alternative to hospitalization",
journal="Psychiatric services",
year="2018",
author="Bouchery, Ellen E. and Barna, Michael and Babalola, Elizabeth and Friend, Daniel and Brown, Jonathan D. and Blyler, Crystal and Ireys, Henry T.",
volume="69",
number="10",
pages="1069-1074",
abstract="OBJECTIVE: This study assessed whether peer-staffed crisis respite centers implemented in New York City in 2013 as an alternative to hospitalization reduced emergency department (ED) visits, hospitalizations, and Medicaid expenditures for individuals enrolled in Medicaid. <br><br>METHODS: This study used Medicaid claims and enrollment data for January 2009 through April 2016 to estimate impacts on ED visits, hospitalizations, and total Medicaid expenditures by using a difference-in-differences model with a matched comparison group. The study sample included 401 respite center clients and 1,796 members of the comparison group. <br><br>RESULTS: In the month of crisis respite use and the 11 subsequent months, Medicaid expenditures were on average $2,138 lower per Medicaid-enrolled month and there were 2.9 fewer hospitalizations for crisis respite clients than would have been expected in the absence of the intervention (p<.01). <br><br>CONCLUSIONS: Peer-staffed crisis respite services resulted in lowered rates of Medicaid-funded hospitalizations and health expenditures for participants compared with a comparison group. The findings suggest that peer-staffed crisis respites can achieve system-level impacts.<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.201700451",
url="http://dx.doi.org/10.1176/appi.ps.201700451"
}