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Am J Intellect Dev Disabil. 2019 May;124(3):206-219. doi: 10.1352/1944-7558-124.3.206.

Repeat Emergency Department Visits for Individuals With Intellectual and Developmental Disabilities and Psychiatric Disorders.

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1
Anna Durbin, St. Michael's Hospital, Toronto, ON, Canada; Robert Balogh, University of Ontario Institute of Technology, Oshawa, ON, Canada; Elizabeth Lin, Centre for Addiction and Mental Health, Toronto, ON, Canada; Andrew S. Wilton, Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Avra Selick, Centre for Addiction and Mental Health, Toronto, ON, Canada; Kristin M. Dobranowski, University of Ontario Institute of Technology, Oshawa, ON, Canada; and Yona Lunsky, Centre for Addiction and Mental Health, Toronto, ON, Canada.

Abstract

Although individuals with intellectual and developmental disabilities (IDD) and psychiatric concerns are more likely than others to visit hospital emergency departments (EDs), the frequency of their returns to the ED within a short time is unknown. In this population-based study we examined the likelihood of this group returning to the ED within 30 days of discharge and described these visits for individuals with IDD + psychiatric disorders (n = 3,275), and persons with IDD only (n = 1,944) compared to persons with psychiatric disorders only (n = 41,532). Individuals with IDD + psychiatric disorders, and individuals with IDD alone were more likely to make 30-day repeat ED visits. Improving hospital care and postdischarge community linkages may reduce 30-day returns to the ED among adults with IDD.

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