Contributions of Mental and Behavioral Health Conditions to Health Service Utilization Among People With Intellectual and Developmental Disabilities in Massachusetts

Inclusion ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 188-201 ◽  
Author(s):  
Emily Lauer ◽  
Nassira D. Nicola ◽  
Kimberley Warsett ◽  
Rodrigo Monterrey
Keyword(s):  
Developmental Disabilities ◽  
Health Service ◽  
Behavioral Health ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Population Based ◽  
Health Conditions ◽  
Intellectual And Developmental Disabilities ◽  
Related Factors ◽  
Inpatient Hospitalizations

Abstract Although existing evidence suggests an increased prevalence mental and behavioral health conditions for people with intellectual and developmental disabilities (IDD), little is known about health service utilization patterns related to these conditions. This study provides population-based data on hospital service utilization. Medicaid claims for people under 65 years of age in Massachusetts were used (years 2008-2013) to identify a cohort of people with IDD. Utilization of inpatient hospitalizations and outpatient Emergency Department (ED) was compared with the U.S. and MA general population through risk ratios. Findings suggest mental and behavioral health conditions were major contributors to increased utilization of inpatient and outpatient ED services and underscore the need for community-based service options that understand how to treat these conditions in people with IDD and address the myriad of related factors to identify, treat, and minimize the potential adverse life impact of these conditions for people with IDD.

scholarly journals Factors Associated With Health Service Utilization in Ulaanbaatar, Mongolia: A Population-Based Survey

2013 ◽  
Vol 23 (5) ◽  
pp. 320-328 ◽  
Author(s):  
Amarsanaa Gan-Yadam ◽  
Ryoji Shinohara ◽  
Yuka Sugisawa ◽  
Emiko Tanaka ◽  
Taeko Watanabe ◽  
...  
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Population Based ◽  
Factors Associated ◽  
Population Based Survey

scholarly journals Prevalence and Predictors of Reincarceration after Correctional Center Release: A Population-based Comparison of Individuals with and without Schizophrenia in Ontario, Canada: Prévalence et prédicteurs de la réincarcération après la libération d’un centre correctionnel : une comparaison dans la population-de personnes souffrant ou non de schizophrénie en Ontario, Canada

2020 ◽  
pp. 070674372095301
Author(s):  
Mayuri Mahentharan ◽  
Fiona G. Kouyoumdjian ◽  
Claire de Oliveira ◽  
Tomisin Iwajomo ◽  
Alexander I. F. Simpson ◽  
...  
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Population Based ◽  
Emergency Department Visits ◽  
Income Quintile ◽  
Control Group ◽  
Correctional Facilities ◽  
Physician Visits ◽  
Population Based Algorithm

Objectives: Individuals with schizophrenia are overrepresented in correctional facilities relative to their population-based prevalence. The purpose of this study was to determine the rate and predictors of reincarceration of individuals with schizophrenia after release from correctional facilities. Methods: This was a retrospective cohort study that included all people released from Ontario’s provincial correctional facilities from January 1 to December 31, 2010. Individuals with schizophrenia were identified using a population-based algorithm. The primary outcome was time to reincarceration. Covariates included sociodemographic characteristics (age, sex, neighborhood income quintile, urban/rural residence), health service utilization (primary care physician visits, psychiatrist visits, psychiatric and nonpsychiatric hospitalizations, emergency department visits), and other clinical comorbidity. Survival analysis was used to examine the association between schizophrenia and reincarceration. Results: Among 46,928 individuals, N = 3,237 (7%) had a diagnosis of schizophrenia. Approximately 67.5% of these individuals were reincarcerated within 5 years following their first release in 2010, compared to 58.8% of individuals without schizophrenia. Individuals with schizophrenia were 40% (HR = 1.39, 95% CI, 1.33 to 1.45) more likely to be reincarcerated following release than the control group after adjusting for demographic characteristics. This association reduced to 8% (HR = 1.08, 95% CI,1.03 to 1.14) after adjusting for prior health service utilization, prior correctional involvement, and comorbidities. Conclusion: Individuals with schizophrenia were more likely to experience reincarceration after release from correctional facilities. This risk is partly explained by prior correctional involvement, health service utilization, and comorbidities. Future research should focus on risk factors predicting the higher reincarceration rate and interventions to reduce correctional involvement.

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