Table 5.
Access to care and outcomes following discharge after psychiatric hospital admission, by Ontario Local Health Integration Network (LHIN)
| LHIN; no. (%) of patients | ||||||
|---|---|---|---|---|---|---|
| Diagnosis | Toronto Central | Champlain | South West | South East | Hamilton | Low-supply LHINs |
| Schizophrenia | ||||||
| No. of patients | 1291 | 727 | 523 | 295 | 669 | 3649 |
| Psychiatrist visit after discharge | ||||||
| Within 30 days | 722 (55.9) | 446 (61.3) | 150 (28.7) | 62 (21.0) | 293 (43.8) | 1663 (45.6) |
| Within 180 days | 1038 (80.4) | 618 (85.0) | 242 (46.3) | 131 (44.4) | 496 (74.1) | 2531 (69.4) |
| Emergency department visit after discharge | ||||||
| Within 30 days | 337 (26.1) | 141 (19.4) | 88 (16.8) | 68 (23.1) | 103 (15.4) | 735 (20.1) |
| Within 180 days | 671 (52.0) | 341 (46.9) | 244 (46.7) | 150 (50.8) | 303 (45.3) | 1719 (47.1) |
| Psychiatric readmission after initial discharge | ||||||
| Within 30 days | 219 (17.0) | 92 (12.7) | 61 (11.7) | 46 (15.6) | 61 (9.1) | 504 (13.8) |
| Within 180 days | 504 (39.0) | 235 (32.3) | 179 (34.2) | 107 (36.3) | 203 (30.3) | 1220 (33.4) |
| Bipolar disorder | ||||||
| No. of patients | 549 | 468 | 505 | 199 | 672 | 3125 |
| Psychiatrist visit after discharge | ||||||
| Within 30 days | 369 (67.2) | 284 (60.7) | 186 (36.8) | 88 (44.2) | 374 (55.7) | 1544 (49.4) |
| Within 180 days | 476 (86.7) | 389 (83.1) | 306 (60.6) | 127 (63.8) | 549 (81.7) | 2723 (87.1) |
| Emergency department visit after discharge | ||||||
| Within 30 days | 135 (24.6) | 99 (21.2) | 110 (21.8) | 53 (26.6) | 154 (22.9) | 702 (22.5) |
| Within 180 days | 269 (49.0) | 229 (48.9) | 262 (51.9) | 101 (50.8) | 327 (48.7) | 1575 (50.4) |
| Psychiatric readmission after initial discharge | ||||||
| Within 30 days | 100 (18.2) | 57 (12.2) | 67 (13.3) | 32 (16.1) | 69 (10.3) | 364 (11.6) |
| Within 180 days | 195 (35.5) | 122 (26.1) | 157 (31.1) | 56 (28.1) | 193 (28.7) | 825 (26.4) |
| Depression | ||||||
| No. of patients | 735 | 703 | 662 | 304 | 885 | 5162 |
| Psychiatrist visit after discharge | ||||||
| Within 30 days | 447 (60.8) | 402 (57.2) | 252 (38.1) | 94 (30.9) | 470 (53.1) | 2281 (44.2) |
| Within 180 days | 584 (79.5) | 529 (75.2) | 408 (61.6) | 162 (53.3) | 669 (75.6) | 3463 (67.1) |
| Emergency department visit after discharge | ||||||
| Within 30 days | 138 (18.8) | 132 (18.8) | 121 (18.3) | 54 (17.8) | 169 (19.1) | 1071 (20.7) |
| Within 180 days | 320 (43.5) | 311 (44.2) | 322 (48.6) | 130 (42.8) | 429 (48.5) | 2540 (49.2) |
| Psychiatric readmission after initial discharge | ||||||
| Within 30 days | 77 (10.5) | 61 (8.7) | 55 (8.3) | 29 (9.5) | 68 (7.7) | 428 (8.3) |
| Within 180 days | 185 (25.2) | 137 (19.5) | 133 (20.1) | 58 (19.1) | 192 (21.7) | 1042 (20.2) |