Social psychiatry and psychiatric epidemiology
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Soc Psychiatry Psychiatr Epidemiol · May 2016
Comparative StudyEthnicity and detention: are Black and minority ethnic (BME) groups disproportionately detained under the Mental Health Act 2007?
There is substantial evidence to suggest that Black and minority ethnic (BME) patients are disproportionately detained under the Mental Health Act (MHA). We examined ethnic differences in patients assessed for detention and explored the effect of ethnicity after controlling for confounders. ⋯ The BME 'disproportionality' in detention rates seems to be due to higher rates of mental illness, greater risk and poorer levels of social support rather than ethnicity per se.
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Soc Psychiatry Psychiatr Epidemiol · May 2016
Examining the need profiles of patients with multiple emergency department visits for mental health reasons: a cross-sectional study.
Study objectives were to: (1) provide an estimate of the prevalence of repeat emergency department (ED) use for mental health reasons among individuals enrolled in intensive case management programs; and (2) to identify socio-demographic, diagnostic, and service need characteristics associated with repeat ED visits among this service population. ⋯ The repeat ED user group within case management may have distinct need profiles that require different treatment responses. Moreover, clinical needs rather than psychosocial needs have the greatest relationship with repeat psychiatric ED utilization. These unmet needs suggest areas for future interventions aimed at reducing the use of ED services for mental health reasons and improving care for patients who repeatedly present at the ED.