An Evaluation of Racial and Ethnic Health Differences in State Mental Health Inpatient Services: 2002–2005 Versus 2010–2011
This study analyzed racial-ethnic differences previously documented in the Connecticut Department of Mental Health and Addiction Services mental health inpatient system across two time periods (2002–2005 and 2010–2011). Comparisons of logistic regression analyses from the two time periods showed tha...
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| Veröffentlicht in: | The journal of behavioral health services & research 2017-04, Vol.44 (2), p.242-262 |
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| container_title | The journal of behavioral health services & research |
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| creator | Flanagan, Elizabeth H. Greig, Astrea Tharnish, Sue Boynton, Ellen Cruza-Guet, Maria-Cristina Davidson, Larry Delphin-Rittmon, Miriam E. |
| description | This study analyzed racial-ethnic differences previously documented in the Connecticut Department of Mental Health and Addiction Services mental health inpatient system across two time periods (2002–2005 and 2010–2011). Comparisons of logistic regression analyses from the two time periods showed that, at time 1, significant racial-ethnic differences were found for referral by other sources (e.g., outpatient), length of stay, discharge against medical advice, and some diagnostic differences (e.g., schizophrenia, other psychotic disorders, cluster B discharge diagnosis), but these differences were not significant at time 2. Other diagnostic differences remained significant at time 2 (e.g., mood disorders, substance use disorders, other axis I disorders, mental retardation) as well as racial-ethnic differences in self-referral. These results suggest that the multiple national and state cultural competence initiatives between time 1 and time 2 could have resulted in decreases in racial-ethnic differences. Targeted interventions to alleviate the remaining differences are needed. |
| doi_str_mv | 10.1007/s11414-016-9539-2 |
| format | Article |
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Comparisons of logistic regression analyses from the two time periods showed that, at time 1, significant racial-ethnic differences were found for referral by other sources (e.g., outpatient), length of stay, discharge against medical advice, and some diagnostic differences (e.g., schizophrenia, other psychotic disorders, cluster B discharge diagnosis), but these differences were not significant at time 2. Other diagnostic differences remained significant at time 2 (e.g., mood disorders, substance use disorders, other axis I disorders, mental retardation) as well as racial-ethnic differences in self-referral. These results suggest that the multiple national and state cultural competence initiatives between time 1 and time 2 could have resulted in decreases in racial-ethnic differences. Targeted interventions to alleviate the remaining differences are needed.</description><identifier>ISSN: 1094-3412</identifier><identifier>EISSN: 1556-3308</identifier><identifier>DOI: 10.1007/s11414-016-9539-2</identifier><identifier>PMID: 28000013</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Addictions ; Adult ; African Americans ; Anxiety disorders ; Bias ; Community and Environmental Psychology ; Community support ; Continental Population Groups ; Cultural competence ; Cultural Competency ; Cultural differences ; Culturally Competent Care ; Diagnostic systems ; Discharge ; Discharge against medical advice ; Disorders ; Drug abuse ; Drug use ; Emotional disorders ; Ethnic differences ; Ethnic Groups ; Female ; Health care ; Health disparities ; Health Informatics ; Health Promotion and Disease Prevention ; Health Psychology ; Health services ; Hispanic Americans ; Hospitalization ; Humans ; Inpatient care ; Inpatients ; Intellectual disabilities ; Length of stay ; Male ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental Disorders - ethnology ; Mental Disorders - therapy ; Mental Health ; Mental health care ; Mental health services ; Mental Health Services - standards ; Middle Aged ; Minority & ethnic groups ; Mood ; Mood disorders ; Outpatient care facilities ; Personality disorders ; Psychiatry ; Psychosis ; Public Health ; Race ; Regression analysis ; Schizophrenia ; Service provision ; Socioeconomic factors ; Studies ; Substance abuse treatment ; Substance use ; Substance use disorder ; Variables ; White people ; Young Adult</subject><ispartof>The journal of behavioral health services & research, 2017-04, Vol.44 (2), p.242-262</ispartof><rights>National Council for Behavioral Health 2016</rights><rights>The Journal of Behavioral Health Services & Research is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a92eaf14f5e92ac94d32bd87b80abe0426fc885b23405b70160d5a92162eaac43</citedby><cites>FETCH-LOGICAL-c372t-a92eaf14f5e92ac94d32bd87b80abe0426fc885b23405b70160d5a92162eaac43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11414-016-9539-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11414-016-9539-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,12846,27924,27925,30999,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28000013$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Flanagan, Elizabeth H.</creatorcontrib><creatorcontrib>Greig, Astrea</creatorcontrib><creatorcontrib>Tharnish, Sue</creatorcontrib><creatorcontrib>Boynton, Ellen</creatorcontrib><creatorcontrib>Cruza-Guet, Maria-Cristina</creatorcontrib><creatorcontrib>Davidson, Larry</creatorcontrib><creatorcontrib>Delphin-Rittmon, Miriam E.</creatorcontrib><title>An Evaluation of Racial and Ethnic Health Differences in State Mental Health Inpatient Services: 2002–2005 Versus 2010–2011</title><title>The journal of behavioral health services & research</title><addtitle>J Behav Health Serv Res</addtitle><addtitle>J Behav Health Serv Res</addtitle><description>This study analyzed racial-ethnic differences previously documented in the Connecticut Department of Mental Health and Addiction Services mental health inpatient system across two time periods (2002–2005 and 2010–2011). Comparisons of logistic regression analyses from the two time periods showed that, at time 1, significant racial-ethnic differences were found for referral by other sources (e.g., outpatient), length of stay, discharge against medical advice, and some diagnostic differences (e.g., schizophrenia, other psychotic disorders, cluster B discharge diagnosis), but these differences were not significant at time 2. Other diagnostic differences remained significant at time 2 (e.g., mood disorders, substance use disorders, other axis I disorders, mental retardation) as well as racial-ethnic differences in self-referral. These results suggest that the multiple national and state cultural competence initiatives between time 1 and time 2 could have resulted in decreases in racial-ethnic differences. Targeted interventions to alleviate the remaining differences are needed.</description><subject>Addictions</subject><subject>Adult</subject><subject>African Americans</subject><subject>Anxiety disorders</subject><subject>Bias</subject><subject>Community and Environmental Psychology</subject><subject>Community support</subject><subject>Continental Population Groups</subject><subject>Cultural competence</subject><subject>Cultural Competency</subject><subject>Cultural differences</subject><subject>Culturally Competent Care</subject><subject>Diagnostic systems</subject><subject>Discharge</subject><subject>Discharge against medical advice</subject><subject>Disorders</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Emotional disorders</subject><subject>Ethnic differences</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Health care</subject><subject>Health disparities</subject><subject>Health Informatics</subject><subject>Health Promotion and Disease Prevention</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>Hispanic Americans</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Inpatients</subject><subject>Intellectual disabilities</subject><subject>Length of stay</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - ethnology</subject><subject>Mental Disorders - therapy</subject><subject>Mental Health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Mental Health Services - standards</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Mood</subject><subject>Mood disorders</subject><subject>Outpatient care facilities</subject><subject>Personality disorders</subject><subject>Psychiatry</subject><subject>Psychosis</subject><subject>Public Health</subject><subject>Race</subject><subject>Regression analysis</subject><subject>Schizophrenia</subject><subject>Service provision</subject><subject>Socioeconomic factors</subject><subject>Studies</subject><subject>Substance abuse treatment</subject><subject>Substance use</subject><subject>Substance use disorder</subject><subject>Variables</subject><subject>White people</subject><subject>Young 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Evaluation of Racial and Ethnic Health Differences in State Mental Health Inpatient Services: 2002–2005 Versus 2010–2011</title><author>Flanagan, Elizabeth H. ; Greig, Astrea ; Tharnish, Sue ; Boynton, Ellen ; Cruza-Guet, Maria-Cristina ; Davidson, Larry ; Delphin-Rittmon, Miriam E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a92eaf14f5e92ac94d32bd87b80abe0426fc885b23405b70160d5a92162eaac43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Addictions</topic><topic>Adult</topic><topic>African Americans</topic><topic>Anxiety disorders</topic><topic>Bias</topic><topic>Community and Environmental Psychology</topic><topic>Community support</topic><topic>Continental Population Groups</topic><topic>Cultural competence</topic><topic>Cultural Competency</topic><topic>Cultural differences</topic><topic>Culturally Competent Care</topic><topic>Diagnostic 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Comparisons of logistic regression analyses from the two time periods showed that, at time 1, significant racial-ethnic differences were found for referral by other sources (e.g., outpatient), length of stay, discharge against medical advice, and some diagnostic differences (e.g., schizophrenia, other psychotic disorders, cluster B discharge diagnosis), but these differences were not significant at time 2. Other diagnostic differences remained significant at time 2 (e.g., mood disorders, substance use disorders, other axis I disorders, mental retardation) as well as racial-ethnic differences in self-referral. These results suggest that the multiple national and state cultural competence initiatives between time 1 and time 2 could have resulted in decreases in racial-ethnic differences. Targeted interventions to alleviate the remaining differences are needed.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28000013</pmid><doi>10.1007/s11414-016-9539-2</doi><tpages>21</tpages></addata></record> |
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| source | MEDLINE; SpringerNature Journals; EBSCOhost Business Source Complete; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Addictions Adult African Americans Anxiety disorders Bias Community and Environmental Psychology Community support Continental Population Groups Cultural competence Cultural Competency Cultural differences Culturally Competent Care Diagnostic systems Discharge Discharge against medical advice Disorders Drug abuse Drug use Emotional disorders Ethnic differences Ethnic Groups Female Health care Health disparities Health Informatics Health Promotion and Disease Prevention Health Psychology Health services Hispanic Americans Hospitalization Humans Inpatient care Inpatients Intellectual disabilities Length of stay Male Medical diagnosis Medicine Medicine & Public Health Mental disorders Mental Disorders - ethnology Mental Disorders - therapy Mental Health Mental health care Mental health services Mental Health Services - standards Middle Aged Minority & ethnic groups Mood Mood disorders Outpatient care facilities Personality disorders Psychiatry Psychosis Public Health Race Regression analysis Schizophrenia Service provision Socioeconomic factors Studies Substance abuse treatment Substance use Substance use disorder Variables White people Young Adult |
| title | An Evaluation of Racial and Ethnic Health Differences in State Mental Health Inpatient Services: 2002–2005 Versus 2010–2011 |
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