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Table 20.2. Adult Admissions—Number and percent distribution by source of
referral
to specialty mental health organizations by level of care: United States, 1997
|
Referral Source |
Total |
Inpatient |
|
Outpatient* |
|
Number |
Percent |
|
(95% CI) |
|
Number |
Percent |
|
(95% CI) |
|
|
4,115,536 |
1,748,642 |
|
|
|
|
|
2,366,894 |
|
|
|
|
| Personal Referral
|
|
658,339
|
37.6%
|
|
(33.0%,42.3%)
|
|
|
1,070,940
|
45.2%
|
|
(41.3%,49.2%)
|
|
| |
Self |
|
442,717 |
25.3% |
|
(22.0%,28.7%) |
|
|
853,225 |
36.0% |
|
(32.6%,39.5%) |
|
|
Family or friend |
|
215,622 |
12.3% |
|
( 9.7% ,15.0%) |
|
|
217,715 |
9.2% |
|
( 7.8% ,10.6%) |
|
|
Referral from Community Setting |
|
328,896 |
18.8% |
|
(14.2%,23.4%) |
|
|
482,052 |
20.4% |
|
(17.6%,23.2%) |
|
|
Social service agency |
|
68,522 |
3.9% |
|
( 2.3% , 5.5% ) |
|
|
145,051 |
6.1% |
|
( 4.8% , 7.5% ) |
|
|
Court or corrections agency (except police) |
|
73,671 |
4.2% |
|
( 2.7% , 5.8% ) |
|
|
202,877 |
8.6% |
|
( 6.9% ,10.3%) |
|
|
Police |
|
169,957 |
9.7% |
|
( 5.5% ,13.9%) |
|
|
52,936 |
2.2% |
|
( 1.2% , 3.2% ) |
|
|
Educational system |
|
2,738 |
0.2% |
|
( 0.0% , 0.3% ) |
|
|
11,825 |
0.5% |
|
( 0.2% , 0.8% ) |
|
|
Other community setting |
|
14,008 |
0.8% |
|
( 0.3% , 1.3% ) |
|
|
69,363 |
2.9% |
|
( 1.8% , 4.0% ) |
|
|
Referral from Outpatient* Setting |
|
439,558 |
25.1% |
|
(21.2%,29.1%) |
|
|
432,668 |
18.3% |
|
(15.8%,20.8%) |
|
|
Private practice mental health professional |
|
120,619 |
6.9% |
|
( 4.9% , 8.9% ) |
|
|
73,449 |
3.1% |
|
( 2.3% , 3.9% ) |
|
|
Outpatient* mental health care program |
|
172,872 |
9.9% |
|
( 6.9% ,12.9%) |
|
|
143,325 |
6.1% |
|
( 4.4% , 7.7% ) |
|
|
General medical program or physician |
|
115,654 |
6.6% |
|
( 5.0% , 8.3% ) |
|
|
157,965 |
6.7% |
|
( 5.3% , 8.0% ) |
|
|
Alcohol/drug abuse treatment facility |
|
4,948 |
0.3% |
|
( 0.0% , 0.5% ) |
|
|
43,460 |
1.8% |
|
( 1.2% , 2.4% ) |
|
|
Other outpatient* program or care |
|
25,465 |
1.5% |
|
( 0.5% , 2.4% ) |
|
|
14,469 |
0.6% |
|
( 0.3% , 0.9% ) |
|
| Referral from Inpatient/Residential Setting |
|
321,849 |
18.4% |
|
(15.2%,21.6%) |
|
|
381,234 |
16.1% |
|
(13.9%,18.4%) |
|
|
State or county mental hospital |
|
17,940 |
1.0% |
|
( 0.5% , 1.6% ) |
|
|
49,389 |
2.1% |
|
( 1.4% , 2.8% ) |
|
|
General hospital inpatient psychiatric service |
|
41,091 |
2.3% |
|
( 1.4% , 3.3% ) |
|
|
134,864 |
5.7% |
|
( 4.5% , 6.9% ) |
|
|
Other psych. hospital or inpatient psych. service |
|
37,315 |
2.1% |
|
( 1.3% , 3.0% ) |
|
|
55,913 |
2.4% |
|
( 1.7% , 3.0% ) |
|
|
Hospital medical service |
|
131,497 |
7.5% |
|
( 5.5% , 9.5% ) |
|
|
55,260 |
2.3% |
|
( 1.6% , 3.0% ) |
|
|
Alcohol/drug abuse treatment facility |
|
3,684 |
0.2% |
|
( 0.0% , 0.5% ) |
|
|
22,418 |
0.9% |
|
( 0.5% , 1.4% ) |
|
|
Residential setting (e.g. group home, halfway house) |
|
51,172 |
2.9% |
|
( 1.9% , 4.0% ) |
|
|
43,359 |
1.8% |
|
( 1.2% , 2.5% ) |
|
|
Nursing home |
|
37,794 |
2.2% |
|
( 1.3% , 3.0% ) |
|
|
14,055 |
0.6% |
|
( 0.3% , 0.9% ) |
|
|
Other inpatient or residential setting |
|
1,356 |
0.1% |
|
( 0.0% , 0.2% ) |
|
|
5,976 |
0.3% |
|
( 0.0% , 0.5% ) |
|
|
*The term “Outpatient” refers to “less than 24-hour care programs”
(i.e., mental health services that are not provided overnight). Included are outpatient
and partial care services provided in organized mental health care settings. |
|
Source: 1997 Client/Patient Sample Survey. Survey and Analysis Branch, Division
of State and Community Systems Development, Center for Mental Health Services,
Substance Abuse and Mental Health Services Administration, Department of Health
and Human Services. |
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