Associations between multi-disciplinary team meetings and voluntary and involuntary psychiatric readmissions: a multicenter cohort study
4 affiliations
- 1Department of Behavioral Social Sciences, Graduate School of Humanities, Tokyo Metropolitan University
- 2Department of Psychiatry, Gakuji-Kai Kimura Hospital
- 3Department of Community Mental Health & Law, National Institute of Mental Health, National Center of Neurology and Psychiatry
- 4Graduate School of Arts and Sciences, The University of Tokyo
Abstract
Aim: This study aimed to clarify the associations of multidisciplinary team (MDT) meetings during hospitalization with voluntary and involuntary psychiatric readmission, as well as the associations of patient and community staff participation in these meetings with readmission.
Methods: We conducted a multicenter cohort study across 21 psychiatric hospitals. Participants were patients admitted to psychiatric emergency or acute care wards and discharged within one year. Data were collected at admission, discharge, and 6 and 12 months after discharge. Exposures were MDT meetings during hospitalization and patient and community staff participation. Outcomes included three aspects of voluntary and involuntary readmission: readmission within 12 months, time to readmission (days), and total days of readmission. Mixed-effects logistic regression, Cox proportional hazards models, and mixed-effects linear regression models were used.
Results: Of 491 participants, 298 (60.69%) had MDT meetings during hospitalization. Compared with no MDT meetings, MDT meetings were associated with lower odds of voluntary readmission within 12 months (OR: 0.54, 95% CI: 0.32–0.92, p = 0.024) and a lower hazard of voluntary readmission (HR: 0.61, 95% CI: 0.40–0.94, p = 0.027) but not with involuntary readmissions. No significant associations were observed with total days of readmission. Patient or community staff participation showed no associations with readmission outcome.
Conclusion: MDT meetings during hospitalization may reduce the voluntary readmission rate and prolong the time to voluntary readmission within one year after discharge. Further research is required to evaluate the quality of meetings and the impact of patient and community staff participation in MDT meetings.
Related
- Predischarge blood count and nutritional risk marker patterns associated with 30-day unplanned readmissions for hematological toxicity after radiotherapy for nasopharyngeal carcinoma: a multicenter cohort study.
- Prenatal cannabis use disorder and postpartum psychiatric emergency department visits: A retrospective cohort study of trends and associations in California, 2016–2021
- Predictors of quality of life in older adults with major psychiatric disorders: A prospective multicenter study
- Associations between psychiatric comorbidity and intensive care unit length of stay, hospital length of stay, and in‐hospital mortality: A retrospective observational study
- Distinct Associations of Age and CYP2D6 Genotype With Parent Venlafaxine Exposure and O-Demethylation in Japanese Psychiatric Patients.
BibTeX
@article{iwanaga2026associations,
title = {{Associations between multi-disciplinary team meetings and voluntary and involuntary psychiatric readmissions: a multicenter cohort study}},
author = {Mai Iwanaga and Momoka Igarashi and Sosei Yamaguchi and Junko Koike and Asami Matsunaga and Yasutaka Ojio and Makoto Ogawa and Hiroyuki Watanabe and Chiyo Fujii and Hiroshi Kimura},
journal = {Frontiers in Psychiatry},
year = {2026},
month = nov,
doi = {10.3389/fpsyt.2026.1994144},
url = {https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1994144/full},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Associations between multi-disciplinary team meetings and voluntary and involuntary psychiatric readmissions: a multicenter cohort study
AU - Mai Iwanaga
AU - Momoka Igarashi
AU - Sosei Yamaguchi
AU - Junko Koike
AU - Asami Matsunaga
AU - Yasutaka Ojio
AU - Makoto Ogawa
AU - Hiroyuki Watanabe
AU - Chiyo Fujii
AU - Hiroshi Kimura
PY - 2026
DA - 2026/11/09
JO - Frontiers in Psychiatry
DO - 10.3389/fpsyt.2026.1994144
UR - https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1994144/full
AB - Aim: This study aimed to clarify the associations of multidisciplinary team (MDT) meetings during hospitalization with voluntary and involuntary psychiatric readmission, as well as the associations of patient and community staff participation in these meetings with readmission. Methods: We conducted a multicenter cohort study across 21 psychiatric hospitals. Participants were patients admitted to psychiatric emergency or acute care wards and discharged within one year. Data were collected at admission, discharge, and 6 and 12 months after discharge. Exposures were MDT meetings during hospitalization and patient and community staff participation. Outcomes included three aspects of voluntary and involuntary readmission: readmission within 12 months, time to readmission (days), and total days of readmission. Mixed-effects logistic regression, Cox proportional hazards models, and mixed-effects linear regression models were used. Results: Of 491 participants, 298 (60.69%) had MDT meetings during hospitalization. Compared with no MDT meetings, MDT meetings were associated with lower odds of voluntary readmission within 12 months (OR: 0.54, 95% CI: 0.32–0.92, p = 0.024) and a lower hazard of voluntary readmission (HR: 0.61, 95% CI: 0.40–0.94, p = 0.027) but not with involuntary readmissions. No significant associations were observed with total days of readmission. Patient or community staff participation showed no associations with readmission outcome. Conclusion: MDT meetings during hospitalization may reduce the voluntary readmission rate and prolong the time to voluntary readmission within one year after discharge. Further research is required to evaluate the quality of meetings and the impact of patient and community staff participation in MDT meetings.
SN - 1664-0640
ER -