scholarly journals ED visits and hospital admissions of foreigners for psychiatric disorders in Rome from 2007 to 2018

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Nardi ◽  
G Migliara ◽  
A Angelozzi ◽  
S Caminada ◽  
M Giffi ◽  
...  
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Hospital Admission ◽  
Psychiatric Disorders ◽  
Service Use ◽  
Hospital Admissions ◽  
Mental Health Service Use ◽  
Related Factors ◽  
Ed Visits ◽  
And Migration

Abstract Background First generation immigrants are at high risk of psychiatric disorders (PD). Moreover, cultural and migration related factors can act as barriers in the access to care. The aim of this study was to analyze the emergency department (ED) visits and the subsequent admissions to Umberto I, a large teaching hospital in Rome, for PD from 2007 to 2018 and to highlight the differences between Italian citizens and foreigners. Methods Adult patients were divided in 11 Nationality Groups (NGs). Basing on ICD9 codes, PD were classified in 5 categories: psychotic, mood, anxiety, personality and substance abuse disorders. Descriptive statistics were conducted for gender, age, educational level and triage. Poisson regression models, adjusted for sociodemographic variables, were used to estimate incidence rate ratios (IRRs) of different NGs, both for visits and hospital admissions, for the five psychiatric categories and for PD as a whole. Results In the period of interest there were 11,965 ED visits for PD, of which 19.2% made by foreigners. Compared to Italians, all NGs showed higher percentages of ED visits for PDs, except for Southern Asian (SA) and East-Southern east Asian (ESA); SA and ESA, together with Other Africa population, showed also higher proportion of psychosis. Regarding admissions, ESA had the highest percentage overall, while more than half of foreigner nationality groups had higher percentages of admissions for psychosis than Italians. Poisson regressions showed that only EU citizens have greater risk of ED visit (IRR 1.69, IC95% 1.46-1.96) and of hospital admission for PD (IRR 1.23, IC95% 1.02-1.49) than Italians, while Romanians, SA and ESA have lower risk. Conclusions Different risk in ED visits for PDs among NGs can be due to heterogeneity in psychopathology, cultural factors, barriers, and migrant status. More studies are necessary to better understand the needs of foreigners and to enhance their mental health service use. Key messages The risk of ED visit and hospital admission for psychiatric disorders differ among foreign populations. Different study design are needed to understand which cultural and migration related factors influence the risks, in order to provide more tailored mental health services for high risk populations.

scholarly journals Recorded poor insight as a predictor of service use outcomes: cohort study of patients with first-episode psychosis in a large mental healthcare database

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e028929 ◽  
Author(s):  
Neha Ramu ◽  
Anna Kolliakou ◽  
Jyoti Sanyal ◽  
Rashmi Patel ◽  
Robert Stewart
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Service Use ◽  
Hospital Admissions ◽  
First Episode Psychosis ◽  
Mental Health Service Use ◽  
Secondary Outcome ◽  
First Episode ◽  
Episode Psychosis

ObjectivesTo investigate recorded poor insight in relation to mental health and service use outcomes in a cohort with first-episode psychosis.DesignWe developed a natural language processing algorithm to ascertain statements of poor or diminished insight and tested this in a cohort of patients with first-episode psychosis.SettingThe clinical record text at the South London and Maudsley National Health Service Trust in the UK was used.ParticipantsWe applied the algorithm to characterise a cohort of 2026 patients with first-episode psychosis attending an early intervention service.Primary and secondary outcome measuresRecorded poor insight within 1 month of registration was investigated in relation to (1) incidence of psychiatric hospitalisation, (2) odds of legally enforced hospitalisation, (3) number of days spent as a mental health inpatient and (4) number of different antipsychotic agents prescribed; outcomes were measured over varying follow-up periods from 12 months to 60 months, adjusting for a range of sociodemographic and clinical covariates.ResultsRecorded poor insight, present in 46% of the sample, was positively associated with ages 16-35, bipolar disorder and history of cannabis use and negatively associated with White ethnicity and depression. It was significantly associated with higher levels of all four outcomes over all five follow-up periods.ConclusionsRecorded poor insight in people with recent onset psychosis predicted subsequent legally enforced hospitalisations and higher number of hospital admissions, number of unique antipsychotics prescribed and days spent hospitalised. Improving insight might benefit patients’ course of illness as well as reduce mental health service use.

Mental health service use decision‐making among young adults at clinical high risk for developing psychosis

2018 ◽  
Vol 13 (5) ◽  
pp. 1050-1055 ◽  
Author(s):  
Shelly Ben‐David ◽  
Andrea Cole ◽  
Gary Brucato ◽  
Ragy R. Girgis ◽  
Michelle R. Munson
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Young Adults ◽  
Mental Health Service ◽  
High Risk ◽  
Health Service ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Clinical High Risk

scholarly journals Psychiatric disorders and mental health service use in patients with advanced cancer

Cancer ◽  
2005 ◽  
Vol 104 (12) ◽  
pp. 2872-2881 ◽  
Author(s):  
Nina S. Kadan-Lottick ◽  
Lauren C. Vanderwerker ◽  
Susan D. Block ◽  
Baohui Zhang ◽  
Holly G. Prigerson
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Psychiatric Disorders ◽  
Advanced Cancer ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use

scholarly journals Profiles and Mental Health Correlates of Alcohol and Illicit Drug Use in the Canadian Population: An Exploration of the J-Curve Hypothesis

2013 ◽  
Vol 58 (6) ◽  
pp. 344-352 ◽  
Author(s):  
Alexandre Dumais ◽  
Luigi De Benedictis ◽  
Christian Joyal ◽  
Jean-François Allaire ◽  
Alain Lesage ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Mental Health Service ◽  
Health Service ◽  
Psychiatric Disorders ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Canadian Population ◽  
J Curve

Objective: Alcohol and (or) illicit drug use (AIDU) problems are associated with mental health difficulties, but low-to-moderate alcohol consumption may have mental health benefits, compared with abstinence. Our study aimed to explore the hypothesis of a nonlinear, or J-curve, relation between AIDU profiles and psychological distress, psychiatric disorders, and mental health service use in the general Canadian population. Methods: Data were collected from a representative sample of the Canadian population ( n = 36 984). Multiple correspondence analyses and cluster analyses were used to extract AIDU profiles. Sociodemographics, psychological distress, psychiatric disorders, and mental health service use were assessed and compared between profiles. Results: Seven AIDU profiles emerged, including 3 involving risky or problematic AIDU that correlate with major affective disorders, anxiety disorders, suicidal behaviours, and higher levels of psychological distress. No J-curve relation was found for psychiatric disorders and mental health service use. The lifetime-abstainer profile correlates with the lowest rates of psychiatric disorders and mental health service use. Lifetime abstainers are also more often female, immigrant, and unemployed. Compared with other profiles, spirituality is more important in their life. Conclusions: The hypothesis of a nonlinear relation between psychiatric disorders and AIDU was not supported. Lifetime AIDU abstainers have specific sociodemographic and cultural background characteristics in Canada.

scholarly journals Rural and Indigenous Health Disparity in Medical Service Use for Dementia and Diabetes Mellitus in Minnesota

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 258-258
Author(s):  
Sung Han Rhew ◽  
Patrick Bright ◽  
Andrine Lemieux ◽  
Wayne Warry ◽  
Kristen Jacklin
Keyword(s):  
Diabetes Mellitus ◽  
Hospital Admission ◽  
Rural Areas ◽  
Service Use ◽  
Hospital Admissions ◽  
Indigenous Health ◽  
Metropolitan Region ◽  
Care Utilization ◽  
Urban Regions ◽  
Ed Visits

Abstract Minnesota has shown relatively high growth of mortality from diabetes mellitus (DM) and dementia in recent years, especially in rural areas. Analysis of medical care utilization patterns may reveal the reasons for this trend. The goal of the present study was to characterize the Minnesota dementia and diabetes care landscape by rurality and geographic region. Specifically, we compared the Metro region to five other rural-urban regions. Disease-specific 2017 hospital admission and emergency department (ED) visit data was obtained from the State Center for Health Statistics and the Healthcare Cost and Utilization Project. We used the logistic regression analysis adjusted by multiple covariates to evaluate rural-urban differences in hospital admissions and ED visits. Age-adjusted rates of ED visits for both DM and dementia were significantly higher in rural zip code areas, especially in northeast regions. Rural areas had elevated odds for dementia hospital admissions (OR=1.05, p<0.0001) and ED visits (OR=1.24, p<0.0001), but decreased odds for DM hospital admission (OR=0.96, p<0.0001) and ED visits (OR=0.96, p<0.0001). This was particularly true in the northeast region (relative to Metro regions) where ED visits were less likely due to DM (OR=0.89, p<0.0001) but more likely related to dementia (ORs=1.42, p<0.0001). Geographic differences for ED visits due to DM were greater than those for dementia, with higher rates for rural as compared to urban regions (northeast MN compared to a large metropolitan region). This geographical mismatch between mortality rates and ED visit rates may illustrate the relative lack of access to health services in rural MN.

Barriers to mental health service use in Asian American and European American college students.

2020 ◽  
Vol 11 (2) ◽  
pp. 98-107 ◽  
Author(s):  
Christina B. Gee ◽  
Gagan S. Khera ◽  
Alyssa T. Poblete ◽  
Barunie Kim ◽  
Syeda Y. Buchwach
Keyword(s):  
Mental Health ◽  
College Students ◽  
Mental Health Service ◽  
Health Service ◽  
Asian American ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
European American
Sign in / Sign up

Export Citation Format

Share Document