Medicaid cutbacks and state psychiatric hospitalization of patients with schizophrenia

Bentson McFarland, Jon C. Collins

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: Given financial difficulties precipitated by the flagging national economy, state policy makers are interested in the impact of Medicaid cutbacks on individuals with schizophrenia. Starting in 2003, the Oregon legislature eliminated all Medicaid coverage for large numbers of people, including many with schizophrenia. The objective of this project was to examine state psychiatric hospital utilization among persons with schizophrenia who maintained or lost Medicaid coverage. Methods: This longitudinal cohort study examined Oregon schizophrenia patients who had used Medicaid mental health services before the state's massive Medicaid reductions. Data were obtained from the state mental health, Medicaid, and vital statistics agencies. The outcome measures were involuntary psychiatric admissions to general hospitals and to state psychiatric hospitals, respectively. There were three cohorts, which comprised those who lost Medicaid coverage in calendar year 2003 (N=435), those who lost Medicaid coverage in 2004 (N=187), and those who maintained Medicaid coverage throughout study years 2002-2004 (N=3,427). Results: Cohort members were on average 43 years old, and the sample was 42% female and 88% white. Analyses controlling for age, gender, race-ethnicity, Medicaid eligibility, and Medicare coverage showed that persons who maintained Medicaid coverage had little change in state psychiatric hospitalization, whereas utilization increased markedly over time for those who lost Medicaid coverage (p

Original languageEnglish (US)
Pages (from-to)871-877
Number of pages7
JournalPsychiatric Services
Volume62
Issue number8
DOIs
StatePublished - Aug 2011

Fingerprint

Medicaid
Psychiatry
Schizophrenia
Hospitalization
State Hospitals
Psychiatric Hospitals
Vital Statistics
Mental Health Services
Medicare
Administrative Personnel
General Hospitals
Longitudinal Studies
Mental Health
Cohort Studies
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Medicaid cutbacks and state psychiatric hospitalization of patients with schizophrenia. / McFarland, Bentson; Collins, Jon C.

In: Psychiatric Services, Vol. 62, No. 8, 08.2011, p. 871-877.

Research output: Contribution to journalArticle

McFarland, Bentson ; Collins, Jon C. / Medicaid cutbacks and state psychiatric hospitalization of patients with schizophrenia. In: Psychiatric Services. 2011 ; Vol. 62, No. 8. pp. 871-877.
@article{10bfc17d58604c3083cb846e6049dcce,
title = "Medicaid cutbacks and state psychiatric hospitalization of patients with schizophrenia",
abstract = "Objective: Given financial difficulties precipitated by the flagging national economy, state policy makers are interested in the impact of Medicaid cutbacks on individuals with schizophrenia. Starting in 2003, the Oregon legislature eliminated all Medicaid coverage for large numbers of people, including many with schizophrenia. The objective of this project was to examine state psychiatric hospital utilization among persons with schizophrenia who maintained or lost Medicaid coverage. Methods: This longitudinal cohort study examined Oregon schizophrenia patients who had used Medicaid mental health services before the state's massive Medicaid reductions. Data were obtained from the state mental health, Medicaid, and vital statistics agencies. The outcome measures were involuntary psychiatric admissions to general hospitals and to state psychiatric hospitals, respectively. There were three cohorts, which comprised those who lost Medicaid coverage in calendar year 2003 (N=435), those who lost Medicaid coverage in 2004 (N=187), and those who maintained Medicaid coverage throughout study years 2002-2004 (N=3,427). Results: Cohort members were on average 43 years old, and the sample was 42{\%} female and 88{\%} white. Analyses controlling for age, gender, race-ethnicity, Medicaid eligibility, and Medicare coverage showed that persons who maintained Medicaid coverage had little change in state psychiatric hospitalization, whereas utilization increased markedly over time for those who lost Medicaid coverage (p",
author = "Bentson McFarland and Collins, {Jon C.}",
year = "2011",
month = "8",
doi = "10.1176/appi.ps.62.8.871",
language = "English (US)",
volume = "62",
pages = "871--877",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "8",

}

TY - JOUR

T1 - Medicaid cutbacks and state psychiatric hospitalization of patients with schizophrenia

AU - McFarland, Bentson

AU - Collins, Jon C.

PY - 2011/8

Y1 - 2011/8

N2 - Objective: Given financial difficulties precipitated by the flagging national economy, state policy makers are interested in the impact of Medicaid cutbacks on individuals with schizophrenia. Starting in 2003, the Oregon legislature eliminated all Medicaid coverage for large numbers of people, including many with schizophrenia. The objective of this project was to examine state psychiatric hospital utilization among persons with schizophrenia who maintained or lost Medicaid coverage. Methods: This longitudinal cohort study examined Oregon schizophrenia patients who had used Medicaid mental health services before the state's massive Medicaid reductions. Data were obtained from the state mental health, Medicaid, and vital statistics agencies. The outcome measures were involuntary psychiatric admissions to general hospitals and to state psychiatric hospitals, respectively. There were three cohorts, which comprised those who lost Medicaid coverage in calendar year 2003 (N=435), those who lost Medicaid coverage in 2004 (N=187), and those who maintained Medicaid coverage throughout study years 2002-2004 (N=3,427). Results: Cohort members were on average 43 years old, and the sample was 42% female and 88% white. Analyses controlling for age, gender, race-ethnicity, Medicaid eligibility, and Medicare coverage showed that persons who maintained Medicaid coverage had little change in state psychiatric hospitalization, whereas utilization increased markedly over time for those who lost Medicaid coverage (p

AB - Objective: Given financial difficulties precipitated by the flagging national economy, state policy makers are interested in the impact of Medicaid cutbacks on individuals with schizophrenia. Starting in 2003, the Oregon legislature eliminated all Medicaid coverage for large numbers of people, including many with schizophrenia. The objective of this project was to examine state psychiatric hospital utilization among persons with schizophrenia who maintained or lost Medicaid coverage. Methods: This longitudinal cohort study examined Oregon schizophrenia patients who had used Medicaid mental health services before the state's massive Medicaid reductions. Data were obtained from the state mental health, Medicaid, and vital statistics agencies. The outcome measures were involuntary psychiatric admissions to general hospitals and to state psychiatric hospitals, respectively. There were three cohorts, which comprised those who lost Medicaid coverage in calendar year 2003 (N=435), those who lost Medicaid coverage in 2004 (N=187), and those who maintained Medicaid coverage throughout study years 2002-2004 (N=3,427). Results: Cohort members were on average 43 years old, and the sample was 42% female and 88% white. Analyses controlling for age, gender, race-ethnicity, Medicaid eligibility, and Medicare coverage showed that persons who maintained Medicaid coverage had little change in state psychiatric hospitalization, whereas utilization increased markedly over time for those who lost Medicaid coverage (p

UR - http://www.scopus.com/inward/record.url?scp=79961120129&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79961120129&partnerID=8YFLogxK

U2 - 10.1176/appi.ps.62.8.871

DO - 10.1176/appi.ps.62.8.871

M3 - Article

C2 - 21807824

AN - SCOPUS:79961120129

VL - 62

SP - 871

EP - 877

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 8

ER -