Follow-Up After Emergency Department Visit for Mental Illness (FUM)

The percentage of emergency department (ED) visits for members 6 years of age and older with a principal diagnosis of mental illness who had a follow-up visit for mental illness.

The following rates are reported:

  1. The percentage of ED visits for which the member received follow-up within 30 days of the ED visit (31 total days).
  2. The percentage of ED visits for which the member received follow-up within 7 days of the ED visit (8 total days).

Why It Matters

Mental illness can affect people of all ages. Between 13% and 20% of children younger than 18 in the U.S. have a diagnosable mental illness in a given year (Perou, R. et al., 2013).). Approximately 43.4 million people, or 18% of the U.S. adult population, experience mental illness in a given year (Center for Behavioral Health Statistics and Quality, 2016).

Although ED visits are common among patients suffering from mental illness, many may be avoidable. Research suggests that follow-up care for people with mental illness is linked to reduced repeat ED visits, improved physical and mental function and increased compliance with follow-up instructions (Bruffaerts et al., 2005; Griswold, 2008; Kyriacou et al., 2005).

A study of ED visits at one hospital found that patients who failed to receive aftercare following an ED visit had 6 times higher odds of returning to the ED within 2 months than patients who received aftercare (Bruffaerts et al., 2005).

Results

Data not available to display at this time.

References

  1. Bruffaerts R., M. Sabbe, K. Demyffenaere. 2005. “Predicting Community Tenure in Patients with Recurrent Utilization of a Psychiatric Emergency Service.” General Hospital Psychiatry. 27:269-74.
  2. Center for Behavioral Health Statistics and Quality. (2016). Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health (HHS Publication No. SMA 16-4984, NSDUH Series H-51). Retrieved from http://www.samhsa.gov/data/
  3. Griswold KS, Zayas LE., Pastore PA, Smith SJ, Wagner CM, Servoss TJ. Primary Care After Psychiatric Crisis: A Qualitative Analysis. Annals of Family Medicine. 2008;6(1):38-43. doi:10.1370/afm.760.
  4. Kyriacou D.N., D. Handel, A.C. Stein, R.R. Nelson. 2005. “BRIEF REPORT: Factors Affecting Outpatient Follow-up Compliance of Emergency Department Patients.” Journal of General Internal Medicine 20(10):938-942. doi:10.1111/j.1525-1497.2005.0216_1.x.
  5. Perou, R. et al. (2013). Mental Health Surveillance Among Children — United States, 2005–2011. Centers for Disease Control and Prevention- Morbidity and Mortality Weekly Report. May 2013: 62(02);1-35. Retrieved from: https://www.cdc.gov/mmwr/preview/mmwrhtml/su6202a1.htm?s_cid=su6202a1_w

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