
@article{ref1,
title="Boundary-spanning care: reducing psychiatric rehospitalization and self-injury in a jail population",
journal="Journal of correctional health care",
year="2018",
author="Bursac, Rahela and Raffa, Laura and Solimo, Angela and Bell, Connor and Ford, Elizabeth",
volume="24",
number="4",
pages="365-370",
abstract="Individuals with serious mental illness detained in jail may require frequent psychiatric hospitalization due to the destabilizing nature of the jail environment. This study examined the impact of a pilot treatment program involving continuity of patient care across jail and hospital settings aimed at reducing hospitalizations and negative health outcomes for a population of high-risk, incarcerated individuals with mental illness. This study examined rate ratios of psychiatric hospitalizations, injuries, and suicide watches, comparing 15 patients in the treatment program to themselves pretreatment and to a control group of 15 frequently rehospitalized patients. Patients in treatment experienced significant decreases in overall hospitalizations ( p <.001), 15-day rehospitalizations ( p <.002), and suicide watches in jail ( p <.02), compared to themselves pretreatment. A boundary-spanning treatment program lowered hospitalization rates and need for suicide watch for a small, yet clinically complicated and challenging group of patients.<p /> <p>Language: en</p>",
language="en",
issn="1078-3458",
doi="10.1177/1078345818792055",
url="http://dx.doi.org/10.1177/1078345818792055"
}