{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:34:22Z","timestamp":1777851262983,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2012,3,1]],"date-time":"2012-03-01T00:00:00Z","timestamp":1330560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Geriatr Psychiatry Neurol"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:p>Objectives: This is an exploratory analysis of ambulatory and inpatient services utilization by older persons with type I bipolar disorder experiencing elevated mood. The association between type of treatment setting and the person\u2019s characteristics is explored within a framework that focuses upon predisposing, enhancing, and need characteristics. Method: Baseline assessments were conducted with the first 51 inpatients and 49 outpatients 60 years of age and older, meeting criteria for type I bipolar disorder, manic, hypomanic, or mixed episode enrolled in the geriatric bipolar disorder study (GERI-BD) study. We compared participants recruited from inpatient versus outpatient settings in regard to the patients\u2019 predisposing, enabling, and need characteristics. Results: Being treated in an inpatient rather than an outpatient setting was associated with the predisposing characteristic of being non-Hispanic caucasian (odds ratio [OR]: 0.1; P = .005) and past history of treatment with first-generation antipsychotics (OR: 6.5; P &lt; .001), and the need characteristic reflected in having psychotic symptoms present in the current episode (OR: 126.08; P &lt; .001). Conclusion: Ethnicity, past pharmacologic treatment, and current symptom severity are closely associated with treatment in inpatient settings. Clinicians and researchers should investigate whether closer monitoring of persons with well-validated predisposing and need characteristics can lead to their being treated in less costly but equally effective ambulatory rather than inpatient settings.<\/jats:p>","DOI":"10.1177\/0891988712436684","type":"journal-article","created":{"date-parts":[[2012,3,30]],"date-time":"2012-03-30T17:55:49Z","timestamp":1333130149000},"page":"62-68","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Characteristics Associated with Inpatient Versus Outpatient Status in Older Adults with Bipolar Disorder"],"prefix":"10.1177","volume":"25","author":[{"given":"Rayan K.","family":"Al Jurdi","sequence":"first","affiliation":[{"name":"The Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA"},{"name":"Baylor College of Medicine, Houston, TX, USA"},{"name":"Veterans Affairs South Central Mental Illness Research, Education and Clinical Center, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herbert C.","family":"Schulberg","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College, White Plains, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca L.","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College, White Plains, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark E.","family":"Kunik","sequence":"additional","affiliation":[{"name":"The Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA"},{"name":"Baylor College of Medicine, Houston, TX, USA"},{"name":"Veterans Affairs South Central Mental Illness Research, Education and Clinical Center, Houston, TX, USA"},{"name":"Houston Center for Quality of Care & Utilization Studies, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariel","family":"Gildengers","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"Sajatovic","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine, University Hospitals Case Medical Center, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benoit H.","family":"Mulsant","sequence":"additional","affiliation":[{"name":"Center for Addiction and Mental Health and Department of Psychiatry, University of Toronto, Toronto ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C.","family":"Young","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College, White Plains, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"The GERI-BD Study Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,3,30]]},"reference":[{"key":"bibr1-0891988712436684","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v64n0111"},{"key":"bibr2-0891988712436684","volume-title":"Mood Disorders Across the life Span","author":"Shulman KI","year":"1996"},{"key":"bibr3-0891988712436684","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.55.9.1014"},{"key":"bibr4-0891988712436684","doi-asserted-by":"publisher","DOI":"10.1080\/13607860412331336779"},{"key":"bibr5-0891988712436684","unstructured":"Kahn DA, Carpenter D, Docherty JP, Frances A, eds. 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