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 Project Lessons 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 Project Lessons 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 Project Next 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.