The Use of Inpatient Mental Health Services by Hispanic Women

1987 ◽  
Vol 11 (4) ◽  
pp. 427-441 ◽  
Author(s):  
Nancy Felipe Russo ◽  
Hortensia Amaro ◽  
Michael Winter

Concern has been expressed about underrepresentation of Hispanics in mental health facilities, but little has been done to examine Hispanic gender differences in the use of such facilities. This descriptive study provides a broader and more detailed profile of Hispanic women's use of selected inpatient mental health facilities than is currently available. It presents gender differences in number, percent, and rate per 100,000 population for Hispanic and nonHispanic inpatient admissions with respect to age, marital status, and diagnosis. Results suggest that women use these inpatient facilities less than men, and this gender difference is greater for Hispanics. This greater gender difference in admissions among Hispanics was found across age and marital status categories, but not in all diagnoses. Regardless of ethnicity, men had higher admission rates for schizophrenia and alcohol-related disorders, but not for affective disorders. Marital status was related to diagnosis differently for Hispanics and nonHispanics. The gender difference in favor of higher rates for men with schizophrenia was not found for married nonHispanics. The gender difference in favor of higher rates for women with affective disorders was not found for separated/divorced Hispanic women. These findings point to the importance of and need for psychological research that examines the relationship between gender and sex roles and mental health, the inclusion of the resultant knowledge in mental health education and training, and the application of that knowledge to the design of mental health services.

2013 ◽  
Vol 28 (7) ◽  
pp. 397-403 ◽  
Author(s):  
G. Shoval ◽  
I. Mansbach-Kleinfeld ◽  
I. Farbstein ◽  
R. Kanaaneh ◽  
A. Valevski ◽  
...  

AbstractMarked gender differences have been identified in cigarette smoking. In this study, we aimed to identify the gender-specific emotional and behavioral disorders among adolescent smokers and their consequent utilization of mental health services. We performed a nationwide survey study of an Israeli representative sample of 906 adolescents and their mothers. Mental disorders were assessed using the Development and Well-Being Assessment (DAWBA) Inventory. Levels of emotional and behavioral difficulties were evaluated using the Strengths and Difficulties Questionnaire (SDQ). Mental health services use and smoking habits were also assessed. Among non-smoker adolescents there were significant gender differences in almost all SDQ scales: emotional problems, pro-social, hyperactivity/inattention and conduct problems, whereas in the smoker group there was a difference only in the SDQ emotional problems scale (both self- and maternal-rated, P < 0.001 and P = 0.002, respectively). Only marginal difference was noted between males and females in help-seeking for emotional or behavioral problems. Over 50% of both male and female smokers in the study had untreated mental disorders (non-significant gender difference). The well-established gender differences in psychiatric symptomatology narrowed markedly in adolescent smokers; the typical gender difference in disruptive behaviors was lost in the adolescent smoking population. The implications of these findings are particularly relevant to developing more effective gender-specific programs to prevent youth smoking, to facilitate quitting and prepare primary care practitioners to identify mental disorders and behavioral problems in adolescents with a smoking history.


2018 ◽  
Vol 23 (4) ◽  
pp. 253-268 ◽  
Author(s):  
Amy Mellow ◽  
Anna Tickle ◽  
David M. Gresswell ◽  
Hanne Jakobsen

2016 ◽  
Vol 25 (5) ◽  
pp. 455-460
Author(s):  
Alison Beck ◽  
Victoria Harris ◽  
Loveday Newman ◽  
Lauren Jayne Evans ◽  
Helen Lewis ◽  
...  

2015 ◽  
Vol 17 (1) ◽  
pp. 21-30 ◽  
Author(s):  
Simon Chu ◽  
Kimberley McNeill ◽  
Karen M. Wright ◽  
Anthony Hague ◽  
Tracy Wilkins

Purpose – From 2012, all high-secure forensic mental health services in England began operating a policy of confining patients to their locked bedrooms overnight to increase service efficiency and reduce costs. The purpose of this paper is to assess the views of staff and patients concerning the policy and examine the specific impact of the policy on patients. Design/methodology/approach – Measures of patients’ sleep hygiene, patients’ behaviour, ward atmosphere, engagement with therapy and adverse incidents were taken both before and after the night confinement (NC) policy was implemented. Both patients and staff also expressed their views of the impact of the NC policy. Findings – Results provide converging evidence that the impact of the NC policy on patients is negligible. There were no consistent negative effects of confining patients overnight. Rather, patients and staff were broadly positive about the impact that the practice had on patients. Practical implications – Confining patients to locked bedrooms overnight does not exert any consistent influence, positive or negative, on patients’ sleep hygiene, behaviour or engagement with therapy, and patients expressed a broadly positive view of the practice of NC. Thus, a NC policy may have a contribution to make to the provision an effective high-secure mental health service. Originality/value – The study provides convincing evidence that secure inpatient mental health services that are considering the adoption of a NC policy may do so without fear of a negative impact on patients.


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