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Article   |    
Patterns of Service Use and Costs in Model Day Hospital-Inn Programs in Boston and Tucson
Barbara Dickey; Michael Berren; Jose Santiago; Joshua A. Breslau
Psychiatric Services 1990; doi:
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Department of Psychiatry at Harvard Medical School and The Mental Health Policy Laboratory at Massachusetts Mental Health Center, 74 Fenwood Road, Boston, Massachusetts 02115

Pima (Aniz.) County Psychiatric Services, The University of Arizona in Tucson

Pima County Psychiatric Services, The Department of Psychiatny at Kino Community Hospital in Tucson, The University of Arizona College of Medicine, The University of Arizona

Massachusetts Mental Health Center

1990 by the American Psychiatric Association

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Abstract

Patterns of service use and costs in two similar model day hospital— inn programs for psychiatric patients in publicly funded hospitals in Boston and Tucson are compared. Implementation of the programs resulted in cost savings at both sites, although mean annual costs per patient were much lower in Tucson than in Boston. Compared with patients at the Boston site, patients in Tucson had more admissions but shorter stays and fewer days in the program during a 12-month follow-up period. Site-specific differences in the programs, in local practice patterns, and in state mental health funding levels may have influenced cost differences.

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