scholarly journals Comorbid pathological gambling, mental health, and substance use disorders: Health-care services provision by clinician specialty

2017 ◽  
Vol 6 (3) ◽  
pp. 406-415 ◽  
Author(s):  
Rosa Rodriguez-Monguio ◽  
Maria Errea ◽  
Rachel Volberg
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Pathological Gambling ◽  
Substance Use Disorders ◽  
Health Care Services ◽  
Care Services

Confined to Obscurity: Health Challenges of Pregnant Women in Jail

2020 ◽  
Vol 45 (3) ◽  
pp. 177-185
Author(s):  
Susan J Rose ◽  
Thomas P LeBel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Physical Health ◽  
Pregnant Women ◽  
Mental Health Treatment ◽  
Health Care Services ◽  
Background Characteristics ◽  
Policy And Practice ◽  
Care Services

Abstract Research about pregnant women in jail is scant. This exploratory study begins to fill this gap by examining the demographics; background characteristics; and self-reported physical health, mental health, and substance use challenges reported by 27 pregnant women incarcerated in a large midwestern county jail. It further reports on the prenatal care before and during their incarceration, plans of these pregnant women for delivery of their child, caring for their infant after their release from jail, and their expectations of paternal or family support post-release. Among the sample, 66.7 percent reported a physical health care problem, 48.2 percent had received mental health treatment, and 18.5 percent had substance use treatment in the previous year, but only 51.9 percent had seen a health care professional before their incarceration. All women expected the father of their child to provide financial support, but only 76.9 percent expected the father to be involved with the child. The authors also discuss implications of the findings for jail health care services and reintegration policy and practice for pregnant women.

Use of general health care by people with substance use disorders in Belgium (2008-2017)

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Van Baelen ◽  
B Devleesschauwer ◽  
K De Ridder ◽  
E Plettinckx ◽  
L Gremeaux
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Substance Use Disorders ◽  
General Health ◽  
Health Care Services ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Health Insurance Data ◽  
Specialized Treatment ◽  
Care Services

Abstract Background Substance use disorders (SUD) are associated with an increased use of general health care services (e.g. use of emergency departments (ED), visits to GP or use of inpatient services). However, little is known about the extent to which people with SUD are using these services compared to people without SUD. Methods Data from the national register of people who were in specialized treatment for SUD between 2011 and 2014 (N = 30,905) was linked to health insurance data. Four comparators were matched on sex, age and region to each subject in treatment for SUD (N = 123,620). For people with alcohol (AUD), opiate (OUD), cocaine (CoUD) and cannabis (CaUD) use disorders and their respective comparators we analyzed the contacts with GP, psychiatrist, ED and days in hospital between 2008 and 2017. Negative binomial regression was used to obtain incidence rate ratios (IRRs) in the four different settings both for all drugs combined and for each drug separately. Preliminary results People with SUD were significantly more likely to contact a GP (IRR 1.9 95%CI 1.9-2.0, p < 0.0001), a psychiatrist (IRR 7.4 95%CI 7.0-7.7, p < 0.0001), an ED (IRR 4.2 95%CI 4.2-4.3, p < 0.0001) or to be hospitalized (IRR 6.4 95%CI 6.3-6.5, p < 0.0001), compared to people who were not in specialized treatment for SUD. Differences were stable over time and always highest for people with AUD and lowest for people with CaUD, except for visits to the GP where the differences were highest for people with OUD (IRR 2.6 95%CI 2.5-2.7, p < 0.0001). Conclusions People with SUD have between 2 and 7 times more contacts with general health services than people without SUD. SUD is not a specialty health issue but affects all health service settings. Key messages People with SUD have a 2-7 times higher use of general health care services than people without SUD. All health professionals should have the competencies to support people with SUD adequately.

scholarly journals Utilization of Health Care Services and Common Disease Diagnoses among University Students: An Analysis of 35,249 Students from Thailand

2021 ◽  
Vol 18 (13) ◽  
pp. 7148
Author(s):  
Suphawita Pliannuom ◽  
Kanokporn Pinyopornpanish ◽  
Chaisiri Angkurawaranon ◽  
Kanokwan Pinyopornpanish ◽  
Anawat Wisetborisut ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
University Students ◽  
Health Care Services ◽  
Outpatient Department ◽  
Common Disease ◽  
Care Services ◽  
Common Diseases ◽  
Academic Year ◽  
Inpatient Department

The health care services for university students are important to improve student health and well-being. Analyzing the database of health conditions in the health service system will identify common health problems, which could be useful in further appropriate and specific health service planning. This study aims to investigate the utilization of health care services and common disease diagnoses among university students enrolled at Chiang Mai University during the academic year of 2018. A retrospective study was carried out using health data from the electronic health records (EHR) database of the university hospital. Ethical procedures were followed. Out of the overall 35,249 students in the academic year 2018, 17,284 students (49.03%) had visited an outpatient department (65,150 outpatient department visits), and 407 students (1.15%) had been admitted to the hospital (458 inpatient department admissions). The proportions of utilization between each field of education and training were similar across both groups. The top five categories of diagnosis, for both outpatient department visits and inpatient department admissions, differed between gender. Some of the most common diseases included trauma and injury conditions, respiratory diseases, and mental health. The conclusion of the study is that integration of a health promotion program with preventive methods, especially regarding traffic injury, transmitted diseases, mental health support, and safe environments are essential for university students. A general overview of utilization and common diseases among university students, which is still lacking in the literature, could be useful as a platform to enhance health care services for common diseases.

Supporting Young People at School With High Mental Health Needs

2005 ◽  
Vol 15 (2) ◽  
pp. 137-155 ◽  
Author(s):  
Debra Rickwood
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Young People ◽  
School Environment ◽  
Health Care Services ◽  
Mental Health Problems ◽  
School Setting ◽  
Care Services ◽  
Primary Health

AbstractFor young people still at school, the school setting is vital to their mental health and wellbeing. Not only does the school environment have a direct and indirect impact on mental health, it provides an opportunistic setting in which to identify and respond to emerging mental health problems. To do this effectively, schools and school staff must work in collaboration with the young people themselves, their families, and other support services within the community, particularly primary health care services, including general practice. The importance of developing effective partnerships and care pathways between schools and the primary health care sector is being increasingly acknowledged, and initiatives such as MindMatters Plus GP have advanced our understanding in this area.

Variation in Utilization of Health Care Services for Rural VA Enrollees With Mental Health-Related Diagnoses

2015 ◽  
Vol 31 (3) ◽  
pp. 244-253 ◽  
Author(s):  
Christopher E. Johnson ◽  
Ruth L. Bush ◽  
Jeffrey Harman ◽  
Jane Bolin ◽  
Gina Evans Hudnall ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Services ◽  
Care Services ◽  
Health Related

Substance Parity Laws and the Detection and Treatment of Substance Use Disorders Among Adolescents in Mental Health Care

2009 ◽  
Vol 5 (1) ◽  
pp. 2-13 ◽  
Author(s):  
Lisa C. Dierker ◽  
Eve M. Sledjeski ◽  
Stephanie Marshall ◽  
Sarah Johnson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Mental Health Care ◽  
Substance Use Disorders

Mental health economics: current methodological issues

2011 ◽  
Vol 20 (3) ◽  
pp. 239-243 ◽  
Author(s):  
P. McCrone
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Services ◽  
Self Report ◽  
Economic Evaluations ◽  
Methodological Issues ◽  
Care Services ◽  
Life Years ◽  
Mental Health Economics

Background:Investment in innovative mental health care services requires the use of scarce resources that could be used in alternative ways. Economic evaluation is essential to ensure that such an investment is appropriately compared with investment elsewhere.Method:A non-systematic review of mental health evaluations identifies key methodological issues pertaining to economic studies.Results:Economic evaluations require the measurement and combination of costs and outcomes, and clarity about how this measurement is undertaken is required. Regarding costs, important considerations relate to the perspective to be taken (e.g., health service or societal), method of measurement (patient self-report or use of databases) and valuation (actual costs, fees or expenditure). Decision makers frequently need to compare evidence both within and between clinical areas and therefore there is a tension between the use of condition specific and generic outcome measures. Quality-adjusted life years are frequently used in economic evaluations, but their appropriateness in mental health care studies is still debated.Conclusions:Economic evaluations in the area of mental health care are increasing in number and it is essential that researchers continue to develop and improve methods used to conduct such studies.

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