Abstract：
:Individuals with a more deprived socioeconomic status (SES) are more likely to have higher rates of psychiatric morbidity and use of psychiatric services. Such service use is also influenced by socioeconomic factors at the ecological level. The aim of this article is to investigate the influence of these variables on service utilization. All patients in contact with three Italian community psychiatric services (CPS) were included. Community and hospital contacts over 6 months were investigated. Socio-economic characteristics were described using a SES Index and two new Resources Accessibility Indexes. Low SES was found to be associated with more community service contacts. When other individual and ecological variables were controlled for, SES was negatively associated only with the number of home visits, which was about half the rate in deprived areas. An association between service utilization and the resources of the catchment area was also detected. The economic crisis in Europe is increasing inequality of access, so paying attention to SES characteristics at both the individual and the ecological levels is likely to become increasingly important in understanding patterns of psychiatric service utilization and planning care accordingly.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Donisi V,Tedeschi F,Percudani M,Fiorillo A,Confalonieri L,De Rosa C,Salazzari D,Tansella M,Thornicroft G,Amaddeo Fdoi
10.1016/j.psychres.2013.02.031subject
Has Abstractpub_date
2013-10-30 00:00:00pages
691-8issue
3eissn
0165-1781issn
1872-7123pii
S0165-1781(13)00106-6journal_volume
209pub_type
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