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CAIS Recidivism Project

The CAIS Recidivism Project aims to reduce readmission rates for child & adolescent inpatients in Milwaukee. Daily follow-up calls post-discharge were implemented. The study showed a 14.5% readmission rate, revealing challenges and next steps to enhance care and support.

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CAIS Recidivism Project

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  1. CAIS Recidivism Project • CAIS (Child & Adolescent Inpatient Services) serves children and adolescents in the greater Milwaukee area.

  2. CAIS Recidivism Project • 30-day recidivism rates have hovered between 10%-15% for the past several years. • In order to reduce recidivism, a CAIS RN was assigned Post Discharge Follow Up Calls daily for two weeks in August and 2 weeks in September.

  3. CAIS Recidivism Project

  4. CAIS Recidivism Project

  5. CAIS Recidivism Project • In the month following the Post Discharge Follow Up Calls, 11 of the patients discharged during the trial period were readmitted within 30-days of their discharge. • This results in a 14.5% readmission rate during the trial period, which is consistent with readmission rates on CAIS over the past several years.

  6. CAIS Recidivism ProjectLessons Learned • This intervention was not as successful as we had hoped. • Readmission rates during the trial period were consistent with readmission rates on CAIS for the past several years.

  7. CAIS Recidivism ProjectLessons Learned Team members involved with this project have attributed readmission/recidivism to these factors: • Poorly functioning, high risk families • Prior Inpatient Hospitalizations       • Medication Non-compliance       • Lengths of Stay        • Inconsistent or lack of follow up care (appts., group therapy, support groups)

  8. CAIS Recidivism ProjectNext Step • Our plan is to continue our Post Discharge Follow Up Call System in order to collect more data.    • Our "Next Step" will involve incorporating Wraparound and MUTT (Mobile Urgent Treatment Team) services as an integral component of post discharge care with high risk children and adolescents.

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