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Table 20.4. Adult and child IP and OP* admissions—Number and percent of
admissions
by source of referral by type of specialty mental health organization: United
States, 1997
|
|
|
Facility to which the person is referred
|
Personal Referral
|
Referral from
Community Setting
|
Referral from
Outpatient* Setting
|
Referral from Inpatient/Residential Setting
|
|
Number
|
Row %
|
95%
|
CI |
Number
|
Row %
|
95%
|
CI
|
Number
|
Row %
|
95%
|
CI
|
Number
|
Row %
|
95%
|
CI
|
|
|
AI |
State & county mental hospitals |
17,440 |
10.2 |
7.1 |
14.5 |
59,765 |
35.1 |
28.4 |
42.4 |
44,326 |
26.0 |
19.0 |
34.6 |
48,728 |
28.6 |
22.1 |
36.2 |
|
Private psychiatric hospitals |
122,367 |
35.1 |
28.3 |
42.6 |
39,905 |
11.5 |
7.1 |
17.9 |
121,737 |
35.0 |
28.1 |
42.5 |
64,236 |
18.5 |
14.1 |
23.8 |
|
Non-Federal general hospitals |
412,062 |
43.4 |
37.5 |
49.6 |
133,244 |
14.1 |
10.7 |
18.3 |
235,322 |
24.8 |
19.7 |
30.8 |
167,939 |
17.7 |
13.9 |
22.2 |
|
VA medical centers |
68,309 |
67.2 |
61.7 |
72.2 |
8,567 |
8.4 |
6.2 |
11.4 |
12,695 |
12.5 |
9.0 |
17.1 |
12,129 |
11.9 |
8.8 |
16.0 |
|
|
AO
|
State & county mental hospitals
|
6,797
|
24.1
|
19.0
|
30.0
|
5,688
|
20.1
|
12.1
|
31.5
|
6,464
|
22.9
|
11.0
|
41.5
|
9,313
|
33.0
|
23.6
|
43.9
|
|
Private psychiatric hospitals
|
50,286
|
38.0
|
31.2
|
45.4
|
14,740
|
11.2
|
7.6
|
16.1
|
38,031
|
28.8
|
22.2
|
36.4
|
29,142
|
22.0
|
15.8
|
30.0
|
|
Non-Federal general hospitals
|
185,477
|
42.8
|
36.3
|
49.7
|
36,481
|
8.4
|
6.0
|
11.8
|
106,835
|
24.7
|
19.7
|
30.5
|
104,112
|
24.1
|
19.1
|
29.8
|
|
VA medical centers
|
89,359
|
65.7
|
57.7
|
72.9
|
10,790
|
7.9
|
4.9
|
12.6
|
23,748
|
17.5
|
13.0
|
23.1
|
12,088
|
8.9
|
6.2
|
12.6
|
|
Multiservice MH organizations
|
410,277
|
41.7
|
37.3
|
46.2
|
254,093
|
25.8
|
22.1
|
29.9
|
174,709
|
17.8
|
14.6
|
21.4
|
144,922
|
14.7
|
11.8
|
18.3
|
|
RTC
|
23,321
|
47.6
|
39.3
|
56.1
|
15,857
|
32.4
|
23.0
|
43.4
|
6,881
|
14.1
|
9.1
|
21.0
|
2,927
|
6.0
|
3.1
|
11.1
|
|
Freestanding OP clinics/partial care
|
305,423
|
50.5
|
45.6
|
55.4
|
144,403
|
23.9
|
19.7
|
28.7
|
76,000
|
12.6
|
10.0
|
15.7
|
78,730
|
13.0
|
9.9
|
17.0
|
|
|
CI |
State & county mental hospitals |
1,861 |
9.3 |
4.8 |
17.5 |
8,533 |
42.8 |
32.3 |
54.0 |
4,319 |
21.7 |
12.4 |
35.1 |
5,211 |
26.2 |
16.3 |
39.1 |
|
Private psychiatric hospitals |
34,784 |
23.3 |
17.8 |
29.9 |
29,068 |
19.5 |
15.2 |
24.6 |
47,491 |
31.8 |
25.0 |
39.4 |
38,062 |
25.5 |
19.6 |
32.5 |
|
Non-Federal general hospitals |
28,505 |
32.9 |
19.0 |
50.6 |
20,745 |
23.9 |
15.4 |
35.2 |
22,673 |
26.2 |
14.0 |
43.5 |
14,739 |
17.0 |
8.2 |
32.0 |
|
|
CO
|
State & county mental hospitals
|
1,520
|
25.1
|
11.6
|
46.1
|
3,068
|
50.7
|
31.5
|
69.7
|
506
|
8.4
|
3.3
|
19.7
|
958
|
15.8
|
6.1
|
35.2
|
|
Private psychiatric hospitals
|
29,482
|
38.3
|
31.2
|
46.0
|
21,741
|
28.3
|
20.1
|
38.2
|
15,635
|
20.3
|
12.8
|
30.8
|
10,035
|
13.1
|
8.1
|
20.4
|
|
Non-Federal general hospitals
|
65,638
|
39.9
|
30.5
|
50.2
|
34,849
|
21.2
|
15.8
|
27.9
|
46,449
|
28.3
|
20.0
|
38.3
|
17,478
|
10.6
|
6.7
|
16.6
|
|
Multiservice MH organizations
|
161,414
|
42.3
|
38.2
|
46.5
|
159,716
|
41.8
|
37.2
|
46.6
|
34,159
|
9.0
|
6.5
|
12.2
|
26,564
|
7.0
|
4.9
|
9.8
|
|
RTC
|
15,348
|
31.3
|
24.0
|
39.7
|
25,641
|
52.3
|
42.5
|
61.9
|
4,522
|
9.2
|
5.7
|
14.6
|
3,493
|
7.1
|
4.7
|
10.8
|
|
Freestanding OP clinics/partial care
|
113,384
|
39.4
|
33.8
|
45.2
|
124,039
|
43.1
|
36.6
|
49.7
|
33,336
|
11.6
|
8.1
|
16.3
|
17,346
|
6.0
|
3.9
|
9.2
|
|
AI=Adult Inpatient AO=Adult Outpatient CI=Child Inpatient CO=Child
Outpatient
|
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*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.
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** Estimate is based on five or fewer sample cases or has a relative
standard error of 50 percent or higher; therefore, it is not shown because it
does not meet standards of reliability.
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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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