Psychotherapeutic Home Intervention Program: Impact on Medicaid Readmission Rates

2007 ◽  
Vol 8 (4) ◽  
pp. 179-186 ◽  
Author(s):  
Mark J. Johns ◽  
Judith Flaxman ◽  
Madeleine Y. Gomez ◽  
Neil R. Bockian ◽  
Mitch Hall

Records of 52 Medicaid managed care psychiatric patients engaged in a home intervention program (HIP) were analyzed to determine (a) if home-based intervention reduced a participant’s readmission rates to an inpatient behavioral health facility and (b) if a negative relationship existed between total HIP sessions and readmissions following the implementation of home-based services. A paired t test comparing admissions 6 months prior to HIP with admissions 6 months after HIP demonstrated an average decrease of readmissions by 2.5 (p < .0001), or 86%. These results supported the hypothesis that HIP reduces participants’ readmission rates.

2019 ◽  
Vol 15 (5) ◽  
pp. 377-386 ◽  
Author(s):  
Aaqib H Malik ◽  
Senada S Malik ◽  
Wilbert S Aronow ◽  

Aim: We investigated whether the home-based intervention (HBI) for heart failure (HF), restricted to education and support, improves readmissions or mortality compared with usual care. Patients & methods: We searched PubMed and Embase for randomized controlled trials that examined the impact of HBI in HF. A random-effects meta-analysis was performed using R. Result: Total 17/409 articles (3214 patients) met our inclusion criteria. The pooled estimate showed HBI was associated with a reduction in readmission rates and mortality (22 and 16% respectively; p < 0.05). Subgroup analysis confirmed that the benefit of HBI increases significantly with a longer follow-up. Conclusion: HBI in the form of education and support significantly reduces readmission rates and improves survival of HF patients. HBI should be considered in the discharge planning of HF patients.


2001 ◽  
Vol 66 ◽  
pp. 9-22
Author(s):  
Rian Aarts ◽  
Jeanne Kurvers

Home-based intervention programs should not only offer all those qualities that are required for every intervention program for youngsters, but also have to take care that they can be used by low-educated, sometimes illiterate parents. A fact that must also be taken into account is that parent-child interaction in many families of ethnic minorities take place in other languages than the dominant language of education at school. For these reasons, the Dutch home-based program Opstap Opnieuw (Step-up Anew) has tried to combine rich contents with simple procedures and has been developed in four different languages, Dutch, Turkish, Arabic, and Papiamentu. The focus in this article is on the criteria behind the combined requirements of high-quality interaction, suitability for low-educated parents, and versions in four different languages, especially for language development and emergent literacy. In addition, some outcomes of the first evaluations are presented.


2000 ◽  
Vol 2 ◽  
pp. 60-60
Author(s):  
A. Di Lenarda ◽  
G. Sabbadini ◽  
A. Perkan ◽  
M. Bonin ◽  
R. Gortan ◽  
...  

2013 ◽  
Vol 31 (3) ◽  
pp. 243-252 ◽  
Author(s):  
Laura L. Sweet ◽  
Barbara J. Polivka ◽  
Rosemary V. Chaudry ◽  
Philip Bouton

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