October 2019 PA Health Care Cost Hospital Stays for Mental Disorders – 2018 Containment Council This research brief examines hospitalizations for patients whose principal reason for admission was a mental disorder. Included in this analysis are Pennsylvania residents of all ages who were admitted to a Pennsylvania general acute care or Research psychiatric hospital in 2018 (January 1, 2018 to December 31, 2018). This overview Briefs highlights the types of mental disorders treated most frequently in Pennsylvania hospitals and focuses on age-related differences. County rates are also provided. Hospital Stays for Mental Disorders in 2018 Hospital stays by type of mental disorder  There were 113,704 total hospital stays Trauma1 for mental disorders in 2018 in 3.6% Other² Pennsylvania hospitals. Suicidal 7.3% 4.2% Depression  56.4% of stays were treated in acute care was the hospitals while 43.6% were treated in most Depression Bipolar frequent psychiatric hospitals. 44.0% 20.2% reason for a  The average stay was 10.2 days (8.6 days mental in acute care hospitals, 12.3 days in disorder Schizophrenia stay psychiatric hospitals). 20.7%  The total number of days these patients spent in the hospital was 1,162,371 days. ¹ Includes adjustment, post-traumatic stress and dissociative disorders. 2 Includes conduct, anxiety, somatic and other miscellaneous mental disorders. Hospital Stays for Mental Disorders by Patient Age 65-74 yrs 75 yrs and older Rate of hospitalization for mental disorders 4.7% 2.6% per 10,000 state residents Under 18 yrs Patients Under 18 years 62.8 aged 18-44 14.8% years 45-64 yrs 18 to 44 years 133.1 accounted 27.2% for most of 45 to 64 years 89.2 the mental 18-44 yrs disorder 50.8% 65 to 74 years 40.8 stays 75 years and older 28.7 Note: Pie chart percentages may not add to 100% due to rounding. Pennsylvania Health Care Cost Containment Council 1 Rate of Hospitalization for Mental Disorders per 10,000 County Residents, 2018 Hospitalization Rate Per 10,000 40.0 67.5 95.0 122.5 150.0 Erie 105.7 Warren Susquehanna McKean Bradford 126.6 119.8 Tioga 49.3 Crawford Potter 47.1 77.4 106.5 52.3 Wayne Forest 47.0 Wyoming 87.9 Sullivan 77.3 Venango Elk Cameron 124.4 122.0 54.4 Lackawanna Mercer 100.2 93.6 Pike Lycoming 45.8 96.2 Clinton 44.0 Clarion 56.6 89.2 Jefferson Luzerne Columbia 104.2 Monroe 137.5 Lawrence Montour 96.1 75.7 Clearfield Union 101.4 102.8 Butler 130.8 Centre 57.6 Carbon 74.5 Armstrong 60.4 147.3 97.6 Northumberland Beaver Snyder Northampton 97.8 60.2 126.5 Schuylkill 113.6 Indiana 117.5 Lehigh 87.3 Mifflin Juniata 117.1 Allegheny Cambria Blair 74.1 85.7 130.9 113.1 132.8 Perry Berks 62.4 Dauphin Lebanon 91.5 Bucks 99.2 83.6 Westmoreland Huntingdon 73.1 Washington 94.2 87.2 Montgomery 81.1 Cumberland 70.8 68.7 Lancaster Somerset Bedford 63.5 54.2 Chester Fayette 59.9 Fulton Franklin 58.8 Delaware Philadelphia Greene 118.1 40.6 52.0 Adams York 116.7 98.1 44.6 75.1 78.6 Statewide, the rate of hospitalization for mental disorders was 88.8 per 10,000 Pennsylvania residents in 2018. Rates varied by:  Poverty Rate. The rate of hospitalization for mental disorders was 163.3 per 10,000 for residents living in areas of higher poverty (where greater than 25% of the population lives in poverty). The rate was 53.0 per 10,000 for residents living in areas of lower poverty (where up to 5% of the population lives in poverty).  Education. The rate of hospitalization for mental disorders was 159.4 per 10,000 for residents living in areas with lower levels of education (where 10% or less of the population has a bachelor’s degree). The rate was 58.4 per 10,000 for residents living in areas with higher levels of education (where 40% or more of the population has a bachelor’s degree).  Race/ethnicity. The rates of hospitalization for mental disorders for black (non-Hispanic), white (non- Hispanic), and Hispanic residents were 154.0, 81.7, and 67.9, per 10,000, respectively. Rate Calculations: Rates above included Pennsylvania residents of all ages and were calculated using PHC4 hospital discharge data and US Census Bureau data (2018 population figures). Higher rates for some counties might reflect larger numbers of residents with high-risk characteristics (e.g., factors related to age, poverty, education, and race/ethnicity). County rates were not adjusted for these patient characteristics so that important effects of these differences were not masked by such adjustment. Rates by poverty and education level were based on 2017 Census estimates at the zip code level. About PHC4 Created by the PA General Assembly in 1986, the PA Health Care Cost Containment Council (PHC4) is an independent state agency charged with collecting, analyzing and reporting information that can be used to improve the quality and restrain the cost of health care in the state. Today, PHC4 is a recognized national leader in public health care reporting. PHC4 is governed by a 25-member board of directors, representing business, labor, consumers, health care providers, insurers and state government. Joe Martin, Executive Director 225 Market Street, Suite 400, Harrisburg, PA 17101 717-232-6787 · www.phc4.org Pennsylvania Health Care Cost Containment Council 2 Rate of Hospitalization for Mental Disorders per 10,000 County Residents, 2018 Hospitalizations Hospitalizations Number Rate Number Rate Statewide 113,704 88.8 Juniata 183 74.1 Adams 459 44.6 Lackawanna 1,973 93.6 Allegheny 10,448 85.7 Lancaster 3,449 63.5 Armstrong 637 97.6 Lawrence 886 102.8 Beaver 1,611 97.8 Lebanon 1,181 83.6 Bedford 261 54.2 Lehigh 4,312 117.1 Berks 3,843 91.5 Luzerne 3,309 104.2 Blair 1,627 132.8 Lycoming 500 44.0 Bradford 471 77.4 McKean 491 119.8 Bucks 4,590 73.1 Mercer 1,065 96.2 Butler 1,399 74.5 Mifflin 605 130.9 Cambria 1,490 113.1 Monroe 1,283 75.7 Cameron 45 100.2 Montgomery 5,868 70.8 Carbon 946 147.3 Montour 185 101.4 Centre 984 60.4 Northampton 3,464 113.6 Chester 3,072 58.8 Northumberland 1,152 126.5 Clarion 346 89.2 Perry 288 62.4 Clearfield 1,038 130.8 Philadelphia 18,487 116.7 Clinton 219 56.6 Pike 256 45.8 Columbia 629 96.1 Potter 87 52.3 Crawford 906 106.5 Schuylkill 1,669 117.5 Cumberland 1,727 68.7 Snyder 244 60.2 Dauphin 2,749 99.2 Somerset 443 59.9 Delaware 4,244 75.1 Sullivan 33 54.4 Elk 368 122.0 Susquehanna 200 49.3 Erie 2,877 105.7 Tioga 192 47.1 Fayette 1,541 118.1 Union 258 57.6 Forest 64 87.9 Venango 638 124.4 Franklin 805 52.0 Warren 500 126.6 Fulton 59 40.6 Washington 1,682 81.1 Greene 358 98.1 Wayne 241 47.0 Huntingdon 394 87.2 Westmoreland 3,303 94.2 Indiana 738 87.3 Wyoming 209 77.3 Jefferson 600 137.5 York 3,523 78.6 Pennsylvania Health Care Cost Containment Council 3