Admissions to the Twin Valley Psychiatric System, Columbus Campus: 1985 - 1997

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Total admissions to the Twin Valley Psychiatric System, Columbus Campus (TVPS)* have decreased by 76.3% since 1985, from 1,066 to 252 in 1997. Of the 1997 total, 26.5% were first-time admissions, 70.6% were readmissions and 2.8% were transfers from other hospitals. Since 1985, readmissions have outnumbered first-time admissions by at least 2 to 1 every year.

As the number of patients has decreased, the average length of hospital stay per patient discharged increased, from 104.8 days per patient in 1986 to 238.6 days in 1992. The sharp increase in average number of days per discharged patient from 1992 through 1994 is due in part to TVPS discharging several long term clients as part of its effort to downsize. According to TVPS, this is a result of the state legislature's efforts to increase care provided at the local level, thus allowing state hospitals to focus on more severe cases. By 1995, the majority of long-term clients had been discharged, causing the average number of patient days per discharged client to sharply decrease. In 1997, the average number of days a patient stayed in the hospital was 152.4.

In 1997, TVPS discharged 267 clients. Of these, 48 lived alone following discharge (18%), 54 were discharged to live with their families (20.2%) and 130 (48.7%) were discharged to supervised settings (i.e., prisons, nursing homes, group homes, other hospitals). The remainder were discharged to friends or had unknown arrangements.

* TVPS was formerly known as the Central Ohio Psychiatric Hospital.

Admissions and Readmissions to the Twin Valley Psychiatric System, Columbus Campus: 1985-1991

Patient Status        1985   1986   1987   1988   1989   1990   1991  

Number Readmitted      732    629    526    552    540    476    416 
% of Tot. Admits      68.7   71.6   66.8   70.7   67.5   66.6   67.3
1st Time Admits        328    237    245    216    248    225    185  
Transfers from
  Other Hospitals        6     12     16     13     11     13     17  

Total Number of 
  Admissions         1,066    878    787    781    799    714    618   

Admissions and Readmissions to the Twin Valley Psychiatric System, Columbus Campus: 1992-1997

Patient Status        1992   1993   1994   1995   1996   1997

Number Readmitted      374    358    334    297    166    178
% of Tot. Admits      70.3   67.3   72.6   65.1   61.7   70.6
1st Time Admits        146    167    117    154     98     67
Transfers from
  Other Hospitals       12      7     9       5      5      7

Total Number of 
  Admissions           532    532   460     456    269    252

Source: Twin Valley Psychiatric System, Columbus Campus (formerly known as the Central Ohio Psychiatric Hospital)

Living Status of Clients Discharged from the Twin Valley Psychiatric System, Columbus Campus: 1986-1991

Discharge Status      1986   1987   1988   1989   1990   1991  

Alone                   22     29     65    219    201    259   
Friend                  44     50     58     57     48     46
Supervised*            183    174    195    184    191    159
Family                 303    234    257    325    206    189
Unknown Status         324    271    212     50     60     38

Total Number of
Discharged Patients**  876    758    787    835    706    691   

Average Number of
  Days/Patient
  Spent in Hosp.     104.8  123.0  126.7  125.9  161.9  163.2 

Living Status of Clients Discharged from the Twin Valley Psychiatric System, Columbus Campus: 1992-1997

Discharge Status       1992   1993   1994   1995   1996   1997

Alone                   210    197    115    118     64     48
Friend                   24     28     33     30     13     13
Supervised*             168    164    159    150    109    130
Family                  146    145    120    121     67     54
Unknown Status           20     17     27     62     23     22

Total Number of
Discharged Patients**   568    556    454    481    276    267

Average Number of
  Days/Patient
  Spent in Hosp.      238.6  211.0  211.6  102.8   99.5  152.4

* Supervised settings include prisons, nursing homes, group homes, and other hospitals.

** These figures include some individuals from outside Franklin County.

Note: The higher average number of days patients spent in the hospital, during 1992 to 1994, is due in part to TVPS discharging several long-term clients. By 1995, the majority of long- term clients had been discharged, thus lowering the average number of patient days per discharged client.

Source: Twin Valley Psychiatric System, Columbus Campus (formerly known as the Central Ohio Psychiatric Hospital)

Filename: SI-015

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