Study links preventable diabetes hospitalizations to behavioral health

March 25, 2019

By Sally Crocker

Es Web

Dr. Erica Stockbridge

A new study by UNTHSC public health researchers points to important information that may help health care providers, policymakers and insurance payers reduce the risk of preventable hospitalizations for diabetes patients.

The study in PLOS ONE provides insight into the relationship between these hospitalizations and behavioral health conditions like schizophrenia, bipolar disorder, depression, anxiety and drug or alcohol abuse.

Diabetes patients with a co-occurring behavioral health condition were at disproportionately high risk for diabetes-related, potentially preventable hospitalizations. The 20.8 percent of persons with both diabetes and behavioral health conditions experienced 43.6 percent of all diabetes preventable hospitalizations.

An estimated 30.3 million people in the U.S. are living with diabetes, which accounted for about $237 billion in direct medical costs for the year 2017, said Dr. Erica Stockbridge, Assistant Professor of Health Behavior and Health Systems at the UNTHSC School of Public Health, and lead author the PLOS ONE study.

“Costs for diabetes patients are approximately 2.3 times higher than for other patients, often from complications that could be prevented through timely, high-quality, ongoing outpatient care,” Dr. Stockbridge said.

The research team found that schizophrenia and alcohol use disorder increased the potential for hospitalization but not repeat admissions. In contrast to previous studies, the UNTHSC researchers did not find a significant link between anxiety disorders and preventable diabetes hospitalizations.

The team recommend additional study into the unique challenges facing diabetes patients who also suffer from substance abuse. Their hospitalizations and repeat health relapses may be due in large part to “neglect of other areas of their life while spending a significant amount of time obtaining, using or recovering from their substance(s) of choice,” the researchers said.

The groups at greatest risk for experiencing recurring preventable admissions were those with depression, those with drug use disorder and those with multiple behavioral health conditions.

More than one third of persons with co-occurring diabetes and behavioral health conditions were diagnosed with multiple behavioral health conditions, emphasizing the importance of looking at the patient’s total health picture, rather than each mental or physical health concern separately.

“Our findings point to the importance of integrating how diabetes patients’ complex physical and underlying behavioral health needs are screened, diagnosed and addressed,” Dr. Stockbridge said. “When physical and mental health providers and insurance payers are aligned as one team, there are opportunities to develop more encompassing and effective treatment plans that deliver quality care and behavioral interventions outside the hospital.”

Music Fc
Musician saves her career, with a little help from UNTHSC

By Jan Jarvis   As a musician, Sarah Dunbar never imagined she would one day be leaning over a cadaver studying facial muscles. Yet, that is exactly where the University of North Texas College of Music graduate student found herself after years of struggling with severe pain caused by ...Read more

Jun 14, 2019

Eye Fc
Researcher studies the impact of space on the human eye

By Jan Jarvis Vision loss is one of the risks astronauts face when they return from space flights. Called Spaceflight Associated Neuro-Ocular Syndrome or SANS, the condition is characterized by swelling in the optic nerve head. Other ocular abnormalities of SANS include flattening of the b...Read more

Jun 14, 2019

Trish Fc
Trisha Yearwood to headline 2019 Legends Concert event

By Kerry Gunnels Grammy award-winning singer, actress, author and chef Trisha Yearwood will be the featured artist for this year’s Legends Concert Series, UNT Health Science Center’s signature fundraising event. The benefit, presented by Chase and J.P. Morgan, will take place November ...Read more

Jun 14, 2019

Fitsteps Fc
FitSteps for Life offers health rewards for cancer patients

By Jan Jarvis FitSteps for Life at UNTHSC Learn more about how to participate in FitSteps for Life at UNT Health Science Center. Learn More Before she was diagnosed with Stage 4 Non-Hodgkin’s lymphoma, Candice Stinnett had never been to a gym or had any knowledg...Read more

Jun 6, 2019