This composite informed the grouping of high (top 20%), middle, and low-safety (bottom 20%) performers. A composite of safety performance was constructed by averaging standardized measures of restraint and seclusion, as well as five-year (2014–2018) averages of overall, substantiated, and abuse-related (verbal, physical, sexual abuse) complaints per 1,000 discharges ( Methods: Massachusetts all-payer 2017 discharge data (N = 39,128) were linked to facility-level indicators of safety (N = 38). Shields Sci Clin Pract 2020, 15(Suppl 2):A1īackground: I examined patient demographic, clinical, payment, and geographic factors associated with admission to low-safety inpatient psychiatric facilities. Shields Lead Author Affiliation: Center for Mental Health, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA Correspondence: Morgan C.
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