Serious Mental Illness and Health-Related Factors Associated with Regional Emergency Department Utilization

Azar, Kristen M.J.; Petersen, John P.; Shen, Zijun; Nasrallah, Catherine; Pesa, Jacqueline; LaMori, Joyce; Pressman, Alice

doi:10.1089/pop.2019.0161

Cited by 10 publications

(7 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study also found that Hispanic participants were more likely to report utilizing ED services for mental health in the last 6 months and in their lifetime compared to non-Hispanic White participants. Frequent ED utilization has been found to an indicator of unmet health and social needs, especially among patients with mental health conditions (Azar et al, 2020). To improve client-centered care and decrease inequities, MHCs should inquire about and document social determinants of health (e.g., housing, safety, employment) that may influence MHC participants’ use of health care and link participants to culturally responsive services to address those needs; utilize peer specialists to provide culturally relevant health and health care psychoeducation and system navigation; acknowledge forms of discrimination as social determinants of health on individual behavior in discussions of health and health care utilization.…”

Section: Discussionmentioning

confidence: 99%

Racial and ethnic differences in behavioral health, criminal legal system involvement, and service needs among mental health court participants: Implications for service delivery.

Gaba¹,

Shaffer²,

Andre³

et al. 2022

Psychological Services

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Racial and ethnic differences in behavioral health, criminal legal system involvement, and service needs among mental health court participants: Implications for service delivery.

Gaba¹,

Shaffer²,

Andre³

et al. 2022

Psychological Services

View full text Add to dashboard Cite

“…To describe patients with mental health problems who seek emergency care, several definitions or terms are used in the scientific literature. These include patients with ‘mental illness’,13 ‘mental disorder’14 or ‘mental health crisis’ 15. Other authors focus on a specific subgroup of patients with mental health problems who need emergency care, such as patients with ‘borderline personality disorders’,16 ‘substance use disorders’17 or ‘suicide attempts’ 18.…”

Section: Introductionmentioning

confidence: 99%

Interventions to reduce interpersonal stigma towards patients with a mental dysregulation for ambulance and emergency department healthcare professionals: review protocol for an integrative review

Van de Glind,

Galenkamp,

Bleijenberg

et al. 2023

BMJ Open

View full text Add to dashboard Cite

IntroductionWorldwide, there is an increase in the extent and severity of mental illness. Exacerbation of somatic complaints in this group of people can result in recurring ambulance and emergency department care. The care of patients with a mental dysregulation (ie, experiencing a mental health problem and disproportionate feelings like fear, anger, sadness or confusion, possibly with associated behaviours) can be complex and challenging in the emergency care context, possibly evoking a wide variety of feelings, ranging from worry or pity to annoyance and frustration in emergency care staff members. This in return may lead to stigma towards patients with a mental dysregulation seeking emergency care. Interventions have been developed impacting attitude and behaviour and minimising stigma held by healthcare professionals. However, these interventions are not explicitly aimed at the emergency care context nor do these represent perspectives of healthcare professionals working within this context. Therefore, the aim of the proposed review is to gain insight into interventions targeting healthcare professionals, which minimise stigma including beliefs, attitudes and behaviour towards patients with a mental dysregulation within the emergency care context.Methods and analysisThe protocol for a systematic integrative review is presented, using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols recommendations. A systematic search was performed on 13 July 2023. Study selection and data extraction will be performed by two independent reviewers. In each step, an expert with lived experience will comment on process and results. Software applications RefWorks-ProQuest, Rayyan and ATLAS.ti will be used to enhance the quality of the review and transparency of process and results.Ethics and disseminationNo ethical approval or safety considerations are required for this review. The proposed review will be submitted to a relevant international journal. Results will be presented at relevant medical scientific conferences.PROSPERO registration numberCRD42023390664 (https://www.crd.york.ac.uk/prospero/).

show abstract

“…Individuals with SMIs, such as schizophrenia, bipolar disorders, and major depression, have greater risk for alcohol and substance use disorders, 20,21 poorer physical health outcomes, [22][23][24] and increased hospitalizations and emergency department visits. 25,26 The death of a close family member can affect individuals with SMI more adversely than the general population-individuals diagnosed with mental health disorders are at greater risk for post-traumatic stress disorder symptoms, self-harm, suicide, new psychiatric diagnoses, and prolonged grief after the loss of a family member or close member of their social networks. 9,11,12,27,28 The intersectionality between serious mental illness and a traumatic event such as bereavement can exacerbate posttraumatic stress symptoms, 28 and may be linked to poorer coping 29 and maladaptive attachment 12 among this population.…”

Section: Introductionmentioning

confidence: 99%

Serious Mental Illness Exacerbation Post-Bereavement: A Population-Based Study of Partners and Adult Children

Tay

Thygesen

Ornstein

2022

Innovation in Aging

View full text Add to dashboard Cite

The death of a family member may trigger exacerbations among individuals with serious mental illness (SMI). We hypothesized that bereavement would be associated with SMI exacerbations among bereaved partners and adult children diagnosed with SMI. Using linked population-based registries in Denmark, we identified partners and adult children diagnosed with schizophrenia, schizoaffective disorder, bipolar disorder, and major depression in the five years preceding the family member’s death. Generalized estimating equations were used to estimate the odds of SMI exacerbation two years after decedent death. Partners had increased odds of SMI exacerbation at 3 months into bereavement compared to 9-12 months prior to partners’ death (AOR=1.43, [1.13-1.81]). Children with a history of SMI had lower odds of SMI exacerbation in the second year of bereavement. Sociodemographic characteristics and co-occurring alcohol and substance abuse disorders were associated with higher odds of SMI exacerbations. These findings have implications for targeted bereavement support.

show abstract

Serious Mental Illness and Health-Related Factors Associated with Regional Emergency Department Utilization

Cited by 10 publications

References 31 publications

Racial and ethnic differences in behavioral health, criminal legal system involvement, and service needs among mental health court participants: Implications for service delivery.

Racial and ethnic differences in behavioral health, criminal legal system involvement, and service needs among mental health court participants: Implications for service delivery.

Interventions to reduce interpersonal stigma towards patients with a mental dysregulation for ambulance and emergency department healthcare professionals: review protocol for an integrative review

Serious Mental Illness Exacerbation Post-Bereavement: A Population-Based Study of Partners and Adult Children

Contact Info

Product

Resources

About