Characteristics of individuals with severe mental illness who use emergency services

Alexander S. Young; Matthew J. Chinman; Julie A. Cradock-O'Leary; Green Sullivan; Dennis Murata; Jim Mintz; Paul Koegel

doi:10.1007/s10597-005-2650-0

Characteristics of individuals with severe mental illness who use emergency services

Alexander S. Young, Matthew J. Chinman, Julie A. Cradock-O'Leary, Green Sullivan, Dennis Murata, Jim Mintz, Paul Koegel

Research output: Contribution to journal › Review article › peer-review

19 Scopus citations

Abstract

Emergency services are both a safety net and a locus for acute treatment. While the population with severe, persistent mental illness uses emergency services at a high rate, few studies have systematically examined the causes of this service use. This study examines a random sample of 179 people who were high utilizers of services from the Los Angeles County Department of Mental Health. Interviews were conducted and 5 years of service use data were studied. Greater use of emergency services was associated with male gender, minority race, severe illness, homelessness, and less family support. Efforts to reduce emergency services need to improve access to appropriate community services, particularly for people who are homeless or lack family support.

Original language	English (US)
Pages (from-to)	159-168
Number of pages	10
Journal	Community Mental Health Journal
Volume	41
Issue number	2
DOIs	https://doi.org/10.1007/s10597-005-2650-0
State	Published - Apr 2005
Externally published	Yes

Keywords

Adult
African Americans
Emergency services
Health care utilization
Health services accessibility
Human
Mental disorders
Mental health services
Needs
Psychiatric
Schizophrenia
United States

ASJC Scopus subject areas

Health(social science)
Public Health, Environmental and Occupational Health
Psychiatry and Mental health

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abstract = "Emergency services are both a safety net and a locus for acute treatment. While the population with severe, persistent mental illness uses emergency services at a high rate, few studies have systematically examined the causes of this service use. This study examines a random sample of 179 people who were high utilizers of services from the Los Angeles County Department of Mental Health. Interviews were conducted and 5 years of service use data were studied. Greater use of emergency services was associated with male gender, minority race, severe illness, homelessness, and less family support. Efforts to reduce emergency services need to improve access to appropriate community services, particularly for people who are homeless or lack family support.",

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author = "Young, {Alexander S.} and Chinman, {Matthew J.} and Cradock-O'Leary, {Julie A.} and Green Sullivan and Dennis Murata and Jim Mintz and Paul Koegel",

note = "Funding Information: This research was supported by the Ernst Van Loben Sels Charitable Foundation, the Zellerbach Family Fund, the NIMH UCLA-RAND Center for Research on Quality in Managed Care (grant P50 MH-068639), and the Department of Veterans Affairs. Any opinions expressed are only the authors{\textquoteright}, and do not necessarily represent the views of any affiliated institutions.",

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doi = "10.1007/s10597-005-2650-0",

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AU - Cradock-O'Leary, Julie A.

AU - Sullivan, Green

AU - Murata, Dennis

AU - Mintz, Jim

AU - Koegel, Paul

N1 - Funding Information: This research was supported by the Ernst Van Loben Sels Charitable Foundation, the Zellerbach Family Fund, the NIMH UCLA-RAND Center for Research on Quality in Managed Care (grant P50 MH-068639), and the Department of Veterans Affairs. Any opinions expressed are only the authors’, and do not necessarily represent the views of any affiliated institutions.

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N2 - Emergency services are both a safety net and a locus for acute treatment. While the population with severe, persistent mental illness uses emergency services at a high rate, few studies have systematically examined the causes of this service use. This study examines a random sample of 179 people who were high utilizers of services from the Los Angeles County Department of Mental Health. Interviews were conducted and 5 years of service use data were studied. Greater use of emergency services was associated with male gender, minority race, severe illness, homelessness, and less family support. Efforts to reduce emergency services need to improve access to appropriate community services, particularly for people who are homeless or lack family support.

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KW - African Americans

KW - Emergency services

KW - Health care utilization

KW - Health services accessibility

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KW - Schizophrenia

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Characteristics of individuals with severe mental illness who use emergency services

Abstract

Keywords

ASJC Scopus subject areas

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