Psychiatric Quarterly [psaq] PH024-297919 April 28, 2001 8:38 Style ﬁle version Nov. 19th, 1999
Psychiatric Quarterly, Vol. 72, No. 3, 2001
THE ROLE OF PSYCHOMETRIC DATA IN
PREDICTING INPATIENT MENTAL HEALTH
Patricia M. Averill, Ph.D., Derek R. Hopko, Ph.D.,
David R. Small, M.B.A., Helen B. Greenlee, M.P.H.,
and Roy V. Varner, M.D.
Inpatient mental health readmission rates have increased dramatically in re-
cent years, with a subset of consumers referred to as revolving-door patients. In
an effort to reduce the ﬁnancial burden associated with these patients and in-
crease treatment efﬁcacy, researchers have begun to explore factors associated
with increased service utilization. To date, predictors of increased service us-
age are remarkably discrepant across studies. Further exploration, therefore,
is needed to better explicate the relevance of “traditional” predictors and also
to identify alternate strategies that may assist in predicting rehospitalization.
One method that may be helpful in identifying patients at high risk is the de-
velopment of a psychometric screening procedure. As a means to this end, the
present study was designed to assess the potential usefulness of psychometric
data in predicting mental health service utilization. The sample consisted of 131
patients hospitalized during an index period of 8 months at an acute-care psy-
chiatric hospital. Number of readmissions was recorded in a 9 month post-index
The authors are afﬁliated with the University of Texas—Houston Medical School and
the Harris County Psychiatric Center.
Address correspondence to Patricia M. Averill, University of Texas—Houston Harris
County Psychiatric Center, 2800 South MacGregor Way, Houston, TX 77021.
2001 Human Sciences Press, Inc.