Follow-Up After Mental Health Hospitalization

Over one in five adults in the U.S. had a diagnosed mental health disorder in 2022, according to the National Institute of Mental Health.1

Patients hospitalized for mental health are at substantially elevated risk of suicide and other serious health outcomes.2 People hospitalized for mental health disorders often receive inadequate follow-up care.3

Improving follow-up care after hospitalization for mental health can improve patient outcomes. Timely follow-up care can decrease the likelihood of re-hospitalization4,5 and suicide.6,7 Follow-up care scheduled at discharge increases the likelihood of completing a follow-up appointment,8 and follow-up care is associated with improved engagement in treatment.9

That's why the Washington State Department of Health (DOH) is partnering with the Medicaid Managed Care Organizations (MCOs or health plans) in Washington to improve Medicaid members' timely access to follow-up care after an inpatient mental health hospitalization.

Resources

We have created the following resources for health care teams to share with their patients who are exiting mental health hospitalization.

Contact Us

For more information or questions, email us at ohis-ptqi@doh.wa.gov.

References

  1. National Institute of Mental Health. Mental Illness. National Institute of Mental Health. Published September 2024.
  2. Chung DT, Ryan CJ, Hadzi-Pavlovic D, Singh SP, Stanton C, Large MM. Suicide rates after discharge from psychiatric facilities: A systematic review and meta-analysis. JAMA Psychiatry. 2017;74(7):694-702. doi:10.1001/jamapsychiatry.2017.1044
  3. Follow-Up After Hospitalization for Mental Illness (FUH) - NCQA. NCQA. Published April 16, 2025.
  4. Marcus SC, Chuang CC, Ng-Mak DS, Olfson M. Outpatient follow-up care and risk of hospital readmission in schizophrenia and bipolar disorder. Psychiatr Serv. 2017;68(12):1239-1246. doi:10.1176/appi.ps.201600498
  5. Kurdyak P, Vigod SN, Newman A, Giannakeas V, Mulsant BH, Stukel T. Impact of physician follow-up care on psychiatric readmission rates in a population-based sample of patients with schizophrenia. Psychiatr Serv. 2018;69(1):61-68. doi:10.1176/appi.ps.201600507.
  6. Che SE, Gwon YG, Kim KH. Follow-Up Timing after discharge and suicide risk among patients hospitalized with psychiatric illness. JAMA Netw Open. 2023;6(10):e2336767. Published 2023 Oct 2. doi:10.1001/jamanetworkopen.2023.36767
  7. Luxton DD, June JD, Comtois KA. (2013). Can post-discharge follow-up contacts prevent suicide and suicidal behavior? A review of the evidence. Crisis. 34(1):32-41. doi: 10.1027/0227-5910/a000158.
  8. Smith TE, Haselden M, Corbeil T, et al. Effect of scheduling a post-discharge outpatient mental health appointment on the likelihood of successful transition from hospital to community-based care. J Clin Psychiatry. 2020;81(5):20m13344. doi:10.4088/JCP.20m13344
  9. Beadles CA, Ellis AR, Lichstein JC, et al. First outpatient follow-up after psychiatric hospitalization: does one size fit all?. Psychiatr Serv. 2015;66(4):364-372. doi:10.1176/appi.ps.201400081