Social Deprivation and Psychiatric Admission Rates Among Different Diagnostic Groups

Harrison, Judy A.; Barrow, Steve; Creed, Francis

doi:10.1192/bjp.167.4.456

Cited by 68 publications

(44 citation statements)

References 12 publications

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“…The primacy of deprivation as the main area contextual influence on psychiatric outcomes is challenged firstly by findings that area deprivation is more relevant to explaining variations in some psychiatric conditions than others; for example, Peen and Dekker (2001) find area deprivation to have relatively weak role in explaining variability in affective psychosis as compared to schizophrenia, while Harrison et al (1995) find a negative impact of deprivation on hospitalisations for neurotic disorders. The second main finding against the primacy of deprivation as the main contextual influence on population psychiatric morbidity is the widespread evidence that community cohesion, albeit variously conceptualized and measured, affects population mental health and suicide rates.…”

Section: Discussionmentioning

confidence: 96%

Explaining the Spatial Pattern of Suicide and Self-Harm Rates: A Case Study of East and South East England

Congdon

2009

Appl. Spatial Analysis

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This paper examines the impacts on suicide and self harm rates of latent area constructs (deprivation, fragmentation and rurality), obtained via multivariate analysis of a larger set of census and non-census indicators. A case study involves male and female suicides and self-harm hospitalisations in 3242 small areas (known as wards) in East and South East England, including London. A Poisson regression model is applied to these data allowing for nonlinear effects of constructs and for interaction between them, as well as for Poisson extra-heterogeneity. In particular, the gain in model fit from predicting suicide and self-harm risk using the three constructs is assessed in terms of how far they account for spatially structured variation and for unstructured heterogeneity. Evidence for nonlinear effects and interaction between constructs is obtained, and implications for health resource allocation by regression evaluated.

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Section: Discussionmentioning

confidence: 96%

Explaining the Spatial Pattern of Suicide and Self-Harm Rates: A Case Study of East and South East England

Congdon

2009

Appl. Spatial Analysis

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“…With growing distance from the facility, the hospitalization risks in the addiction-psychiatric field seem to decrease. From this it can be concluded that spatial availability of the facilities plays an important role in the use of psychiatric inpatient services by patients with alcohol abuse [4,16].…”

Section: Discussionmentioning

confidence: 99%

Inequity in the Hospital Care of Patients with Alcoholism and Medication Addiction

Maylath

Seidel²

2000

Eur Addict Res

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In a psychiatric/ecological study, the authors investigated which aspects of a town district would provide an explanation to the fact that alcoholics are treated above average in addiction-psychiatric wards in a given city district, while in other districts treatment is carried out in internal medical wards. The research was based on data collected between 1988 and 1994 from approximately 77% of all patients suffering from alcohol and legal drug abuse (n = 15,473) in 41 hospitals in Hamburg. It was established that in somatic departments, mainly internal medicine, 70% of male and 67% of female patients were admitted for alcohol and legal drug abuse. The results of a geographical analysis of hospitalization risks showed that the addiction-psychiatric facilities of psychiatric wards are mainly utilized by inhabitants from nearby districts. Risks of above-average hospitalization for alcoholics and legal drug abusers in internal wards, as well as insufficient addiction-psychiatric care, are to be expected in town districts where a shortage of psychiatrists exists, and where the unemployment rate is high. In these crucial areas, addiction-specific facilities, such as qualified programs for detoxication or techniques for short intervention, should be established within the framework of an addiction-specific liaison service in general hospitals.

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“…Without going into extensive detail, some key proportions were collected in previous studies (Harrison, Barrow, & Creed, 1995;Harvey, 1996;Meltzer et al, 1995). Estimates for London showed an estimated prevalence rate for psychosis of 0.4%, while this can reach 2% in some inner-city areas.…”

Section: Mental Health Care Planningmentioning

confidence: 99%

Place and provision: Mapping mental health advocacy services in London

Foley

Platzer

2007

Social Science & Medicine

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The National Health Service (NHS) Executive for London carried out an investigation in 2002 as part of their wider mental health strategy to establish whether existing mental health advocacy provision in the city was meeting need. The project took a two-part approach, with an emphasis on, (a) mapping the provision of advocacy services and, (b) cartographic mapping of service location and catchments. Data were collected through a detailed questionnaire with service providers in collaboration with the Greater London Mental Health Advocacy Network (GLMHAN) and additional health and government sources. The service mapping identified some key statistics on funding, caseloads and models of service provision with an additional emphasis on coverage, capacity, and funding stability. The questionnaire was augmented by interviews and focus groups with commissioners, service providers and service users and identified differing perspectives and problems, which informed the different perspectives of each of these groups. The cartographic mapping exercise demonstrated a spatially-even provision of mental health advocacy services across the city with each borough being served by at least one local service as well as by London wide specialist schemes. However, at local level, no one borough had the full range of specialist provision to match local demographic need. Ultimately the research assisted the Advisory Group in providing commissioning agencies with clear information on the current status of city-wide mental health advocacy services, and on gaps in existing advocacy provision alongside previously unconsidered geographical and service dimensions of that provision. r

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Social Deprivation and Psychiatric Admission Rates Among Different Diagnostic Groups

Cited by 68 publications

References 12 publications

Explaining the Spatial Pattern of Suicide and Self-Harm Rates: A Case Study of East and South East England

Explaining the Spatial Pattern of Suicide and Self-Harm Rates: A Case Study of East and South East England

Inequity in the Hospital Care of Patients with Alcoholism and Medication Addiction

Place and provision: Mapping mental health advocacy services in London

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