scholarly journals Temporal and Spatial Patterns in Utilization of Mental Health Services During and After Hurricane Sandy: Emergency Department and Inpatient Hospitalizations in New York City

2016 ◽  
Vol 10 (3) ◽  
pp. 512-517 ◽  
Author(s):  
Fangtao Tony He ◽  
Nneka Lundy De La Cruz ◽  
Donald Olson ◽  
Sungwoo Lim ◽  
Amber Levanon Seligson ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
New York ◽  
New York City ◽  
York City ◽  
Hurricane Sandy ◽  
Service Areas ◽  
Health Related ◽  
Ed Visits ◽  
The Impact

AbstractObjectiveHurricane Sandy made landfall on October 29, 2012, causing a coastal storm surge and extensive flooding, which led to the closure of several health care facilities in New York City (NYC) and prolonged interruptions in service delivery. The impact on mental health–related emergency department (ED) and inpatient hospital service utilization was studied.MethodsData came from the New York Statewide Planning and Research Cooperative System. We obtained mental health–related data among NYC residents from 2010 to 2013. Patients were grouped into 5 geographic areas, including service areas of closed hospitals, the Hurricane Sandy evaluation zone, and all of NYC. The Farrington method was used to detect increases in ED visits and hospitalizations for the post-Sandy period.ResultsOpen hospitals experienced a substantial increase in psychiatric ED visits from patients living in the service areas of closed hospitals. This surge in psychiatric ED visits persisted for 4 to 6 months after Hurricane Sandy. However, the increase in psychiatric hospitalizations was observed for 1 to 3 months.ConclusionsSeveral NYC hospitals received a substantially larger number of ED patients from service areas of closed hospitals after Hurricane Sandy, unlike other hospitals that experienced a decrease. Because of potential surges in the number of psychiatric ED visits, resource allocation to hospitals should be considered. (Disaster Med Public Health Preparedness. 2016;10:512–517)

scholarly journals Monitoring child mental health related emergency department visits in New York City

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Don Olson ◽  
Willem Van der Mei ◽  
Sungwoo Lim ◽  
Carol Yoon ◽  
Melissa Kull ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
New York ◽  
New York City ◽  
York City ◽  
Syndromic Surveillance ◽  
Surveillance Data ◽  
Age Group ◽  
Health Related ◽  
Ed Visits

ObjectiveTo assess the use of syndromic surveillance to assess trends inmental health-related emergency department (ED) visits amongschool-aged children and adolescents in New York City (NYC).IntroductionFrom 2001-2011, mental health-related hospitalizations and EDvisits increased among United States children nationwide [1]. Duringthis period, mental health-related hospitalizations among NYCchildren increased nearly 23% [2]. To estimate mental health-relatedED visits in NYC and assess the use of syndromic surveillance chiefcomplaint data to monitor these visits, we compared trends from anear real-time syndromic system with those from a less timely, codedED visit database.MethodsThe NYC ED syndromic surveillance system receives anonymizedpatient chief complaint and basic demographic data for nearly everyED visit citywide to provide timely surveillance information tohealth authorities. Using NYC ED syndromic surveillance datafrom 2003-2015, we applied previously developed definitions forgeneral psychiatric syndromes. We aggregated ED visits by agegroup (5-12 years, 13-17 years, and 18-20 years), geography, andtemporality. Syndromic data were compared with Statewide Planningand Research Collaborative System (SPARCS) data from 2006-2014which reported mental health diagnosis (ICD-9), treatment, service,and basic demographics for patients visiting facilities in NYC. Usingthese two data sources, we compared daily visit patterns and annualtrends overall as well as stratified by age group, area-based poverty(ZIP code), and time of visit.ResultsBoth syndromic surveillance and SPARCS data for NYC showedan increasing trend during the period. While both showed relativeincreases with similar slopes, mental health-related chief complaintdata captured fewer overall visits than the ICD-9 coded SPARCSdata. Trends in syndromic data during 2003-2015 differed by age-group and area-based poverty, e.g., among children ages 5-12 yearsthe annual proportion of mental health-related ED visits increasedroughly 3-fold from 1.2% to 3.8% in the poorest areas, which wasgreater than the increase in the richest areas (1.7% to 2.6%). Seasonal,day-of-week, and school holiday patterns found far fewer visits duringthe periods of NYC public school breaks (Figure).ConclusionsWe conclude that syndromic surveillance data can provide areliable indicator of mental health-related ED visit trends. Thesefindings suggest potential benefit of syndromic surveillance data asthey may help capture temporal and spatial clustering of events in amuch more timely manner than the >1 year delay in availability ofED discharge data. Next steps include a qualitative study exploringthe causes of these patterns and the role of various factors drivingthem, as well as use of patient disposition and matched data to bettercharacterize ED visit patient outcomes.

scholarly journals Monitoring the Impact of Influenza by Age: Emergency Department Fever and Respiratory Complaint Surveillance in New York City

PLoS Medicine ◽  
2007 ◽  
Vol 4 (8) ◽  
pp. e247 ◽  
Author(s):  
Donald R Olson ◽  
Richard T Heffernan ◽  
Marc Paladini ◽  
Kevin Konty ◽  
Don Weiss ◽  
...  
Keyword(s):  
Emergency Department ◽  
New York ◽  
New York City ◽  
York City ◽  
The Impact

Monitoring Emergency Department Visits From Puerto Rico in the Aftermath of Hurricane Maria Using Syndromic Surveillance – New York City, 2017

2019 ◽  
Vol 14 (1) ◽  
pp. 44-48
Author(s):  
Priscilla W. Wong ◽  
Hilary B. Parton
Keyword(s):  
Emergency Department ◽  
New York ◽  
New York City ◽  
Puerto Rico ◽  
York City ◽  
Surveillance System ◽  
Syndromic Surveillance ◽  
Situational Awareness ◽  
Syndromic Surveillance System ◽  
Ed Visits

ABSTRACTObjective:Syndromic surveillance has been useful for routine surveillance on a variety of health outcomes and for informing situational awareness during public health emergencies. Following the landfall of Hurricane Maria in 2017, the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) implemented an enhanced syndromic surveillance system to characterize related emergency department (ED) visits.Methods:ED visits with any mention of specific key words (“Puerto,” “Rico,” “hurricane,” “Maria”) in the ED chief complaint or Puerto Rico patient home Zip Code were identified from the DOHMH syndromic surveillance system in the 8-week window leading up to and following landfall. Visit volume comparisons pre- and post-Hurricane Maria were performed using Fisher’s exact test.Results:Analyses identified an overall increase in NYC ED utilization relating to Puerto Rico following Hurricane Maria landfall. In particular, there was a small but significant increase in visits involving a medication refill or essential medical equipment. Visits for other outcomes, such as mental illness, also increased, but the differences were not statistically significant.Conclusions:Gaining this situational awareness of medical service use was informative following Hurricane Maria, and, following any natural disaster, the same surveillance methods could be easily established to aid an effective emergency response.

scholarly journals Values, Bias, and Stressors Affect Intentions to Adapt to Coastal Flood Risk: A Case Study from New York City

2019 ◽  
Vol 11 (4) ◽  
pp. 809-821 ◽  
Author(s):  
Maya K. Buchanan ◽  
Michael Oppenheimer ◽  
Adam Parris
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Economic Security ◽  
Hurricane Sandy ◽  
Protective Measure ◽  
Single Action ◽  
Coastal Adaptation ◽  
The Impact ◽  
Adaptation Options

Abstract Sea level rise amplifies flooding from tides and storms for coastal communities around the globe. Although the characterization of these physical hazards has improved, it is people’s behavior that will ultimately determine the impact on communities. This study adds to our understanding of how people may respond to various adaptation options and policies, using a household survey in New York City, New York, neighborhoods affected by Hurricane Sandy. We investigate previously overlooked factors that may influence intended household adaptive behavior, such as single-action bias, a cognitive trade-off that households make between adaptation options, whereby taking a small (and often less effective measure) may strongly discourage uptake of a more protective measure. Through a novel application of discrete choice experiments in the coastal adaptation context, we simulate plausible future conditions to assess potential adaptation under climatic and nonclimatic stressors. Our findings suggest that single-action bias plays a substantial role in intended coastal adaptation, whereby the odds of homeowners who have already implemented a modest-cost measure to insure and relocate in the future are 66% and 80% lower, respectively. The odds of homeowners to relocate are also ~1.9, ~2.2, and ~3.1 times as great if their peers relocate, nuisance flooding becomes a frequent occurrence, and property values fall substantially, respectively. We find that renters’ motivation to relocate is largely driven more by external issues such as crime, gentrification, and economic security than by flood hazard.

scholarly journals Emergency Department Visits for Homelessness or Inadequate Housing in New York City before and after Hurricane Sandy

2016 ◽  
Vol 93 (2) ◽  
pp. 331-344 ◽  
Author(s):  
Kelly M. Doran ◽  
Ryan P. McCormack ◽  
Eileen L. Johns ◽  
Brendan G. Carr ◽  
Silas W. Smith ◽  
...  
Keyword(s):  
Emergency Department ◽  
New York ◽  
New York City ◽  
York City ◽  
Hurricane Sandy ◽  
Emergency Department Visits ◽  
Inadequate Housing ◽  
Before And After

scholarly journals The impact of COVID-19 on people who inject drugs in New York City: increased risk and decreased access to services

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Yesenia Aponte-Melendez ◽  
Pedro Mateu-Gelabert ◽  
Chunki Fong ◽  
Benjamin Eckhardt ◽  
Shashi Kapadia ◽  
...  
Keyword(s):  
Mental Health ◽  
New York ◽  
New York City ◽  
Substance Use ◽  
Risk Behaviors ◽  
York City ◽  
People Who Inject Drugs ◽  
Study Group ◽  
Injection Risk ◽  
The Impact

Abstract Background While people who inject drugs (PWID) are vulnerable to the adverse outcomes of events like COVID-19, little is known regarding the impact of the current pandemic on PWID. We examine how COVID-19 has affected PWID in New York City across four domains: substance use, risk behaviors, mental health, and service utilization. Methods As part of a randomized trial to improve access to HCV treatment for PWID, we recruited 165 participants. Eligibility criteria included detectable HCV RNA and recent drug injection. The present cross-sectional analysis is based on a subsample of 106 participants. We compared responses between two separate samples: 60 participants interviewed prior to the pandemic (pre-COVID-19 sample) and 46 participants interviewed during the pandemic (COVID-19 sample). We also assessed differences by study group [accessible care (AC) and usual care (UC)]. Results Compared to the pre-COVID-19 sample, those interviewed during COVID-19 reported higher levels of mental health issues, syringe reuse, and alcohol consumption and greater reductions in syringe-service programs and buprenorphine utilization. In the analysis conducted by study group, the UC group reported significantly higher injection risk behaviors and lower access to buprenorphine treatment during COVID-19, while during the same period, the AC group reported lower levels of substance use and injection risk behaviors. Conclusion The current study provides insight on how COVID-19 has negatively affected PWID. Placing dispensing machines of harm-reduction supplies in communities where PWID live and increasing secondary exchange, mobile services, and mail delivery of supplies may help maintain access to lifesaving supplies during big events, such as COVID-19. Trial registration ClinicalTrials.gov NCT03214679. Registered July 11 2017. https://clinicaltrials.gov/ct2/show/NCT03214679.

scholarly journals Alcohol-related emergency department visits and income inequality in New York City, USA: an ecological study

2019 ◽  
Vol 41 ◽  
pp. e2019041
Author(s):  
Kathleen H. Reilly ◽  
Katherine Bartley ◽  
Denise Paone ◽  
Ellenie Tuazon
Keyword(s):  
Emergency Department ◽  
New York ◽  
New York City ◽  
Alcohol Use ◽  
Income Inequality ◽  
Gini Coefficient ◽  
York City ◽  
Visit Rate ◽  
Ed Visits ◽  
Neighborhood Income

OBJECTIVES: Previous research has found that greater income inequality is related to problematic alcohol use across a variety of geographical areas in the USA and New York City (NYC). Those studies used self-reported data to assess alcohol use. This study examined the relationship between within-neighborhood income inequality and alcohol-related emergency department (ED) visits.METHODS: The study outcome was the alcohol-related ED visit rate per 10,000 persons between 2010 and 2014, using data obtained from the New York Statewide Planning and Research Cooperative System. The main predictor of interest was income inequality, measured using the Gini coefficient from the American Community Survey (2010-2014) at the public use microdata area (PUMA) level (n=55) in NYC. Variables associated with alcohol-related ED visits in bivariate analyses were considered for inclusion in a multivariable model.RESULTS: There were 420,568 alcohol-related ED visits associated with a valid NYC address between 2010 and 2014. The overall annualized NYC alcohol-related ED visit rate was 100.7 visits per 10,000 persons. The median alcohol ED visit rate for NYC PUMAs was 88.0 visits per 10,000 persons (interquartile range [IQR], 64.5 to 133.5), and the median Gini coefficient was 0.48 (IQR, 0.45 to 0.51). In the multivariable model, a higher neighborhood Gini coefficient, a lower median age, and a lower percentage of male residents were independently associated with the alcohol-related ED visit rate.CONCLUSIONS: This study found that higher neighborhood income inequality was associated with higher neighborhood alcohol-related ED visit rates. The precise mechanism of this relationship is not understood, and further investigation is warranted to determine temporality and to assess whether the results are generalizable to other locales.

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