The impact of pediatric psychiatric morbidity as perceived by parents attending outpatient services

2012 ◽  
Vol 60 (5) ◽  
pp. S196
Author(s):  
S.S. Moussa ◽  
M. Emad Eldin ◽  
D. Amer ◽  
A. Khoweiled ◽  
T. Goueli ◽  
...  
Keyword(s):  
Psychiatric Morbidity ◽  
Outpatient Services ◽  
The Impact

The impact of paediatric psychiatric morbidity as perceived by parents attending outpatient services

2012 ◽  
Vol 33 (2) ◽  
pp. 102
Author(s):  
Suaad Moussa ◽  
Osama Refaat ◽  
Dalal Amer ◽  
Maha Emad ◽  
Tamer Goueli ◽  
...  
Keyword(s):  
Psychiatric Morbidity ◽  
Outpatient Services ◽  
The Impact

ECP02-01 - Globalisation and the impact of economic factors on psychiatric disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 1795-1795
Author(s):  
D. Bhugra
Keyword(s):  
Mental Health ◽  
Cultural Identity ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Economic Factors ◽  
Socio Economic Status ◽  
Level Of Economic Development ◽  
Migration Experiences ◽  
The Impact ◽  
The Relationship

IntroductionWith the process of globalisation in full flow, the movement of people and products across the globe has brought a series of difficulties. With migration the socio-economic status of the individuals may change with the likelihood that this status will be lower rather than higher, although depending upon the reasons for migration this may change too.ObjectivesLiterature shows that low socio-economic status is associated with a higher level of psychiatric morbidity.AimsWhether migration acts as a mediator needs to be investigated further.MethodsVarious studies have shown that rates of psychosis are elevated in migrants though these rates are differentially increased in different groups indicating that factors other than migration may be at play.ResultsIn this presentation the literature and link the acculturation and cultural identity with post-migration experiences will be reviewed.ConclusionA link exists between the perceptions within cultures and level of economic development of what constitutes mental health. The state of advancement of mental health services of a country will certainly have a large impact on prevalence rates. Further investigation should be carried out to examine in greater depth the relationship between social inequality and disorder prevalence, as distinct from income inequality.

The impact of health insurance on health services utilization and health outcomes in Vietnam

2014 ◽  
Vol 9 (4) ◽  
pp. 359-382 ◽  
Author(s):  
G. Emmanuel Guindon
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Health Outcomes ◽  
Health Services Utilization ◽  
Living Standard ◽  
Outpatient Services ◽  
Services Utilization ◽  
The Poor ◽  
Inpatient Services ◽  
The Impact

AbstractIn recent years, a number of low- and middle-income country governments have introduced health insurance schemes. Yet not a great deal is known about the impact of such policy shifts. Vietnam’s recent health insurance experience including a health insurance scheme for the poor in 2003 and a compulsory scheme that provides health insurance to all children under six years of age combined with Vietnam’s commitment to universal coverage calls for research that examines the impact of health insurance. Taking advantage of Vietnam’s unique policy environment, data from the 2002, 2004 and 2006 waves of the Vietnam Household Living Standard Survey and single-difference and difference-in-differences approaches are used to assess whether access to health insurance – for the poor, for children and for students – impacts on health services utilization and health outcomes in Vietnam. For the poor and for students, results suggest health insurance increased the use of inpatient services but not of outpatient services or health outcomes. For young children, results suggest health insurance increased the use of outpatient services (including the use of preventive health services such as vaccination and check-up) but not of inpatient services.

scholarly journals What is the impact of socio-economic inequalities on the use of mental health services?

2007 ◽  
Vol 16 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Francesco Amaddeo ◽  
Julia Jones
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Social Background ◽  
Developed Countries ◽  
Socio Economic Status ◽  
The Impact ◽  
Economic Inequalities

AbstractAmartya Sen, who received the Nobel Prize for Economics, has demonstrated that the incidence of deprivation, in terms ofcapability, can be surprisingly high even in the most developed countries of the world. The study of socio-economic inequalities, in relation to the utilisation of health services, is a priority for epidemiological research. Socio-economic status (SES) has no universal definition. Within the international research literature, SES has been related to social class, social position, occupational status, educational attainment, income, wealth and standard of living. Existing research studies have shown that people from a more deprived social background, with a lower SES, are more likely to have a higher psychiatric morbidity. Many studies show that SES influences psychiatric services utilization, however the real factors linking SES and mental health services utilisation remain unclear. In this editorial we discuss what is currently known about the relationship between SES and the use of mental health services. We also make an argument for why we believe there is still much to uncover in this field, to understand fully how individuals are influenced by their personal socio-economic status, or the neighbourhood in which they live, in terms of their use of mental health services. Further research in this area will help clarify what interventions are required to provide greater equality in access to mental health services.

The impact of psychiatric and medical comorbidity on the risk of mortality: a population-based analysis

2019 ◽  
pp. 1-9
Author(s):  
Simon J. C. Davies ◽  
Tomisin Iwajomo ◽  
Claire de Oliveira ◽  
Judith Versloot ◽  
Robert J. Reid ◽  
...  
Keyword(s):  
Depressive Disorder ◽  
Excess Mortality ◽  
Psychiatric Morbidity ◽  
Health Service Delivery ◽  
Population Based ◽  
Future Research ◽  
Medical Disorders ◽  
Medical Disorder ◽  
Stable Conditions ◽  
The Impact

Abstract Background As life expectancy increases, more people have chronic psychiatric and medical health disorders. Comorbidity may increase the risk of premature mortality, an important challenge for health service delivery. Methods Population-based cohort study in Ontario, Canada of all 11 246 910 residents aged ⩾16 and <105 on 1 April 2012 and alive on 31 March 2014. Secondary analyses included subjects having common medical disorders in 10 separate cohorts. Exposures were psychiatric morbidity categories identified using aggregated diagnosis groups (ADGs) from Johns Hopkins Adjusted Clinical Groups software® (v10.0); ADG 25: Persistent/Recurrent unstable conditions; e.g. acute schizophrenic episode, major depressive disorder (recurrent episode), ADG 24: Persistent/Recurrent stable conditions; e.g. depressive disorder, paranoid personality disorder, ADG 23: Time-limited/minor conditions; e.g. adjustment reaction with brief depressive reaction. The outcome was all-cause mortality (April 2014–March 2016). Results Over 2 years' follow-up, there were 188 014 deaths (1.7%). ADG 25 conferred an almost threefold excess mortality after adjustment compared to having no psychiatric morbidity [adjusted hazard ratio 2.94 (95% CI 2.91–2.98, p < 0.0001)]. Adjusted hazard ratios for ADG 24 and ADG 23 were 1.12 (95% CI 1.11–1.14, p < 0.0001) and 1.31 (95% CI 1.26–1.36, p < 0.0001). In all 10 medical disorder cohorts, ADG 25 carried significantly greater mortality risk compared to no psychiatric comorbidity. Conclusions Psychiatric disorders, particularly those graded persistent/recurrent and unstable, were associated with excess mortality in the whole population, and in the medical disorder cohorts examined. Future research should examine whether service design accounting for psychiatric disorder comorbidity improves outcomes across the spectrum of medical disorders.

scholarly journals Understanding increasing rates of psychiatric hospital detentions in England: development and preliminary testing of an explanatory model

BJPsych Open ◽  
2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Luke Sheridan Rains ◽  
Scott Weich ◽  
Clementine Maddock ◽  
Shubulade Smith ◽  
Patrick Keown ◽  
...  
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Morbidity ◽  
Logic Model ◽  
Explanatory Model ◽  
Community Treatment ◽  
Future Research ◽  
Quality Factors ◽  
Stakeholder Consultation ◽  
Contributory Factors ◽  
The Impact

Background The steep rise in the rate of psychiatric hospital detentions in England is poorly understood. Aims To identify explanations for the rise in detentions in England since 1983; to test their plausibility and support from evidence; to develop an explanatory model for the rise in detentions. Method Hypotheses to explain the rise in detentions were identified from previous literature and stakeholder consultation. We explored associations between national indicators for potential explanatory variables and detention rates in an ecological study. Relevant research was scoped and the plausibility of each hypothesis was rated. Finally, a logic model was developed to illustrate likely contributory factors and pathways to the increase in detentions. Results Seventeen hypotheses related to social, service, legal and data-quality factors. Hypotheses supported by available evidence were: changes in legal approaches to patients without decision-making capacity but not actively objecting to admission; demographic changes; increasing psychiatric morbidity. Reductions in the availability or quality of community mental health services and changes in police practice may have contributed to the rise in detentions. Hypothesised factors not supported by evidence were: changes in community crisis care, compulsory community treatment and prescribing practice. Evidence was ambiguous or lacking for other explanations, including the impact of austerity measures and reductions in National Health Service in-patient bed numbers. Conclusions Better data are needed about the characteristics and service contexts of those detained. Our logic model highlights likely contributory factors to the rise in detentions in England, priorities for future research and potential policy targets for reducing detentions.

The Impact of Political Violence on Mild Psychiatric Morbidity in Northern Ireland

1984 ◽  
Vol 145 (6) ◽  
pp. 631-635 ◽  
Author(s):  
Ed Cairns ◽  
Ronnie Wilson
Keyword(s):  
Northern Ireland ◽  
Political Violence ◽  
Community Sample ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
The Political ◽  
Drug Prescribing ◽  
Admission Rates ◽  
The Impact ◽  
Do So

SummaryEvidence concerning the impact of the violence in Northern Ireland on psychiatric morbidity is limited to studies examining admission rates and psychotropic drug prescribing rates; their results varied from suggesting no effect to indicating that greater levels of violence are actually equated with higher levels of mental health. The present study is the first to use a community sample, in which respondents (797) from two towns, which have experienced contrasting levels of violence over the last ten years, completed the 30-item version of the General Health Questionnaire (GHQ), and also indicated their perception of the level of violence in their area and how safe they felt this was to live in. Those who lived in the more violent town scored higher on the GHQ, as did women compared to men and those who perceived that their area had experienced more violence. There was also a two-way interaction, such that the small number of people, who perceived much violence in their area and who also lived in the more violent town, scored more highly on the GHQ. It is possible that the majority of people in Northern Ireland deal effectively with stress generated by the political violence, but do so by denying the existence of this violence around them.

Sign in / Sign up

Export Citation Format

Share Document