Demographic and diagnostic characteristics of psychiatric clinic outpatients in the U.S.A., 1961.

Rosen, Ben; Bahn, Anita K.; Kramer, Morton

doi:10.1111/j.1939-0025.1964.tb02214.x

Cited by 60 publications

(10 citation statements)

References 9 publications

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“…need for children's psychiatric services (18). But because of the private fee-forservice arrangements in the United States it is impossible to know whether similar patterns of use would be found in Canada where barriers to health care have been removed.…”

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confidence: 99%

Social Class, Symptom Type and the Utilization of Children's Psychiatric Services

Beitchman

1978

Canadian Psychiatric Association Journal

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This paper examines three aspects of the distribution and use of children's psychiatric services in Canada under National Health Insurance. These are: 1) Class disparities in the utilization rates of these services; 2) The extent to which those children most in need of treatment are receiving it; and 3) The extent of unmet need for psychiatric services for children 17 years of age and under in the Ottawa-Carleton region. The subjects of this investigation were 96 children between the ages of 6.5 and 12 years who have attended the Children's Services at the Royal Ottawa Hospital. The results indicate that class disparities in the distribution of services were the reverse of those typically found under private fee-for-service arrangements. The high social class had the lowest proportionate use and the welfare classes the highest. In addition, there was a significant association between social class and age for the boys only; the higher the social class, the younger the boy at the time of referral. Almost two-thirds of this sample were found to have antisocial and aggressive disorders. Consistent with estimates of the high rates of these disorders in the general population, this suggests that a proportionate number of those children most in need of treatment are receiving it. For children 17 years of age and under, the one-year treated prevalence of disorder in the Ottawa-Carleton region was estimated to be .95%. Though higher than reports from other sources, it is clear that free medical care alone is not sufficient to bridge the gap between estimates of the true prevalence and treated prevalence of childhood psychiatric disorder. These findings are discussed in terms of the importance of non-economic factors as determinants of the distribution and use of children's psychiatric services. As well, the importance of referral practice, especially for the lower social classes is commented upon. Finally, suggestions are made for further research.

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confidence: 99%

Social Class, Symptom Type and the Utilization of Children's Psychiatric Services

Beitchman

1978

Canadian Psychiatric Association Journal

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“…The low social class of the population may be a contributing factor in the high overall nonattendance rate, as found in studies investigating the relationship between social class and motivation for psychotherapy (Brill and Storrow, 2960;Frank et al, 2957;Holingshead and Redlick, i958;Lief and Lief, 2965;Robinson, et al, 5954;Rosenthal and Frank, 2958 ). The distribution of diagnostic categories seen in this clinic differs from the national surveys of clinic populations mainly in the higher proportion of psychoneuroses and the relatively fewer personality disorders and situational reactions (Bahn and Norman, i959;Bahn, et al, i963;Kramer, 1967;Norman, et al, 1962;Rosen, Bahn, and Kramer, 1964). This indicates differences in the clinic population but does not shed any light on the distribution of disease in those people who do not attend the clinics.…”

Section: Discussionmentioning

confidence: 86%

Some characteristics of ?drop-outs? at first contact with a psychiatric clinic

Raynes

Warren²

1971

Community Ment Health J

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“…Bahn, Chandler, and Eisenberg (1) have summarized characteristics for all outpatients in the State of Maryland; and, in a somewhat later paper, Rosen, Bahn and Kramer (14) presented the same data for the entire United States. Thus, national and state level characteristics of individuals receiving outpatient mental health services are available.…”

Section: Mental Health Patients Inmentioning

confidence: 92%

Mental Health Patients in a Barrio Health Center

Heiman¹,

Kahn²

1975

Int J Soc Psychiatry

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Utilization by Mexican Americans of Mental Facilities of a Barrio area neighborhood health center, and demographic and symptom characteristics of this population were investigated. The findings suggest that contrary to other studies this program was able to reach a high risk Mexican American population frequently missed by mental health programs. The barrio location, the relationship to a neighborhood health clinic and a large proportion of Spanish speaking and local personnel, seemed to be factors in this result. The patients tended to be young adult women with marital problems, somatic complaints and depressive symptoms.

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Demographic and diagnostic characteristics of psychiatric clinic outpatients in the U.S.A., 1961.

Cited by 60 publications

References 9 publications

Social Class, Symptom Type and the Utilization of Children's Psychiatric Services

Social Class, Symptom Type and the Utilization of Children's Psychiatric Services

Some characteristics of ?drop-outs? at first contact with a psychiatric clinic

Mental Health Patients in a Barrio Health Center

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