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Certain Disorders, Education Level Predict High Utilization of Inpatient Psychiatric Services

April 07, 2021

In this podcast, Jane Hamilton, PhD, MPH, LCSW, and David S. Buck, MD, MPH, discuss their recent research that found having schizophrenia and dropping out of high school are among the factors that increase the likelihood of becoming a “high utilizer” of inpatient psychiatric hospital services. They go on to discuss the framework developed through the study for analyzing electronic health record data. Dr. Hamilton and Dr. Buck hope to develop collaborations with colleagues in other safety net hospitals and psychiatric hospitals to find ways to leverage electronic health record data to discover other predictors and tailor treatment.

Read the transcript here.


Hamilton J, Suchting R, Buck DS, et al. Determinants of high psychiatric utilization at a large urbam safety-net hospital. Journal of Health Care for the Poor and Underserved. 2021;32(1):296-320.

Jane Hamilton, PhD, MPH, LCSW, assistant professor of psychiatry and behavioral sciences, is a health services researcher at the University of Texas Harris County Psychiatric Center, Houston. She has presented and published research in the areas of mental health quality, utilization and outcomes, program evaluation methods, early intervention in mental illness, patient engagement in mental health services, and mental health disparities. Over the last 8 years, Dr. Hamilton has conducted research on cost and outcome studies of mental health, substance use and emergency department services. She has also evaluated programs funded at the local, state and national levels. Hamilton received her PhD in health services research and completed a postdoctoral research fellowship in mental health outcomes research both at the University of Texas Health Science Center at Houston. Dr. Hamilton is also a Health Resources and Services Administration (HRSA) Maternal Child Health Training Fellow. She was honored with a Doctoral Dissertation Award in Children’s Mental Health.

David S. Buck, MD, MPH, is associate dean of Community Health at the University of Houston College of Medicine, Texas. He also serves as a clinical professor at The University of Texas McGovern Medical School, Houston, and as an adjunct professor at The University of Texas Health Science Center School of Public Health and Rice University. Dr. Buck currently leads the non-profit Patient Care Intervention Center and continues to serve as a practicing physician, including medical street outreach. After working with Mother Teresa in India, he began working with Houston’s underserved in 1984, developing medical and dental clinics for the indigent population. In 1999, he founded Healthcare for the Homeless—Houston. Dr. Buck co-founded Doctor's for Change and founded the Houston-Galveston Albert Schweitzer Fellowship Program. He served on the founding board and later as chair of the International Street Medicine Institute from 2010 to 2012. At the request of the U.S. Secretary of Health and Human Services, Dr. Buck served on the Consumer Operated and Oriented Plan Advisory Board from 2010 to 2012.

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