{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T05:08:34Z","timestamp":1777352914962,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T00:00:00Z","timestamp":1528761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Health Canada to the Mental Health Commission of Canada"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine whether timely outpatient follow\u2010up after hospital discharge reduces the risk of subsequent rehospitalization among people experiencing homelessness and mental illness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>Comprehensive linked administrative data including hospital admissions, laboratory services, and community medical services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Participants were recruited to the Vancouver At Home study based on a\u2010priori criteria for homelessness and mental illness (<jats:italic>n<\/jats:italic>\u00a0=\u00a0497). Logistic regression analysis was used to assess the relationship between outpatient care within 7\u00a0days postdischarge and subsequent rehospitalization over a 1\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Extraction<\/jats:title><jats:p>Data were extracted for a consenting subsample of participants (<jats:italic>n<\/jats:italic>\u00a0=\u00a0433) spanning\u00a05\u00a0years prior to study enrollment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>More than half of the eligible sample (53 percent; <jats:italic>n<\/jats:italic>\u00a0=\u00a0128) were rehospitalized within 1\u00a0year following an\u00a0index hospital discharge. Neither outpatient medical services nor laboratory services within 7\u00a0days following discharge were associated with a significantly reduced likelihood of rehospitalization within 2\u00a0months (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>\u00a0=\u00a01.17 [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a00.94, 1.46]), 6 months (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>\u00a0=\u00a01.00 [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a00.82, 1.23]) or 12 months (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>\u00a0=\u00a01.24 [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.02, 1.52]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In contrast to evidence from nonhomeless samples, we found no association between timely outpatient follow\u2010up and the likelihood of rehospitalization in our homeless, mentally ill cohort. Our findings indicate a need to address housing as an essential component of discharge planning alongside outpatient care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.12992","type":"journal-article","created":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T03:35:48Z","timestamp":1528860948000},"page":"3400-3415","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Continuity of Care among People Experiencing Homelessness and Mental Illness: Does Community Follow\u2010up Reduce Rehospitalization?"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0123-6405","authenticated-orcid":false,"given":"Lauren B.","family":"Currie","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences Simon Fraser University Burnaby BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle L.","family":"Patterson","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Simon Fraser University Burnaby BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akm","family":"Moniruzzaman","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Simon Fraser University Burnaby BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence C.","family":"McCandless","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Simon Fraser University Burnaby BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian M.","family":"Somers","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Simon Fraser University Burnaby BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,6,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.56.9.1061"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001270050234"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291708003747"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.17.1822"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7425.1219"},{"issue":"2","key":"e_1_2_8_7_1","first-page":"E1","article-title":"Post\u2010Discharge Follow\u2010Up Visits and Hospital Utilization by Medicare Patients, 2007\u20132010","volume":"4","author":"DeLia D.","year":"2014","journal-title":"Medicare & Medicaid Research Review"},{"issue":"4","key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1176\/ps.2009.60.4.451","article-title":"Use of a Critical Time Intervention to Promote Continuity of Care after Psychiatric Inpatient Hospitalization","volume":"60","author":"Dixon L.","year":"2009","journal-title":"Psychiatric Services"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31829fafbb"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61132-6"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.00168"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfami.9.4.333"},{"issue":"2","key":"e_1_2_8_13_1","first-page":"e000323","article-title":"The At Home\/Chez Soi Trial Protocol: A Pragmatic, Multi\u2010Site, Randomised Controlled Trial of a Housing First Intervention for Homeless Individuals with Mental Illness in Five Canadian Cities","volume":"1","author":"Goering P. 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