Abstract:
PURPOSE:Understanding the needs of individuals transitioning to the community following a psychiatric hospitalization can inform community service planning. This study is among the first to examine the needs of a sample of psychiatric inpatients approaching discharge in a large urban area in the USA. METHODS:Representative data were drawn from 1129 acutely hospitalized psychiatric inpatients from eight New York City hospitals. Descriptive statistics were used to estimate patient needs at discharge across nine domains: housing, employment, income, transportation, education, time use, social support, and help accessing medical and mental health care. Latent class analysis (LCA) was applied to identify subgroups of patients based on needs profiles. Multinomial logistic regression was used to investigate socio-demographic associations with class membership. RESULTS:Respondents were most likely to have needs related to income (50.7%), housing (49.2%), and employment (48.7%). Results from the LCA suggested a five class solution of patient needs: three domain-specific classes whose members endorsed needs for 'housing and employment' (22.5%), 'social support and time use' (15.0%) and 'access to care' (6.4%) and two classes where overall member needs were high ('high needs,'18.4%) or low ('low needs,' 37.7%) across all needs. Compared to the 'low needs' class, members of the 'high needs' class had significantly greater odds of being black or Latino, male, uninsured, and parents of a child under 18 years. CONCLUSION:Patients have unique profiles of need that are significantly associated with the socio-demographic characteristics. These findings may help practitioners and policymakers improve mental health services.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
McDonald KL,Hoenig JM,Norman CCdoi
10.1007/s00127-019-01817-4subject
Has Abstractpub_date
2020-01-02 00:00:00eissn
0933-7954issn
1433-9285pii
10.1007/s00127-019-01817-4pub_type
杂志文章abstract:OBJECTIVES:To investigate continuity and change of self-reported physical and psychological complaints in young adults over a period of 20 years. STUDY DESIGN AND SETTING:The Zurich Study--a long-term panel survey in psychiatric epidemiology--is based on a stratified sample of 591 subjects born in 1958 (women) and 195...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-006-0111-x
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:There is a well-established but poorly understood association between tobacco use and psychotic illness. The aim of this study was to determine whether tobacco use is associated with an earlier age at onset of psychotic illness. METHODS:Peer-reviewed publications in English reporting the age at onset of psy...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,meta分析
doi:10.1007/s00127-011-0431-3
更新日期:2012-08-01 00:00:00
abstract::The aim of this study was to construct a discriminant function to predict maladjustment in foreign cultures for 123 Japanese adolescents studying abroad in home stay for 1 year. The maladjustment was defined in terms of self-reported friendship availability, friendship satisfaction and emotional distress. Among the va...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00801745
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVE:The purpose of our study was to assess the knowledge, social distance and perception of social discrimination towards persons with schizophrenia in the general adult population of Buenos Aires, Argentina. METHODS:One thousand two-hundred fifty-four persons were surveyed at different neighborhoods of the city...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-010-0196-0
更新日期:2011-04-01 00:00:00
abstract:INTRODUCTION:Mental illness stigma is prevalent among Asian Americans, and it is a key barrier that prevents them from seeking psychological services. Limited studies have experimentally examined how Asian Americans respond to biological and social explanations of mental illness. Understanding how to educate and commun...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-014-0999-5
更新日期:2015-05-01 00:00:00
abstract:PURPOSE:This study identified depressive symptom trajectories in the years after diabetes diagnosis, examined factors that predict the probability for people following a specific trajectory, and investigated how the trajectories are associated with subsequent disability. METHODS:We drew data from a nationally represen...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-016-1314-4
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:This paper reports the findings of an analytical comparison of several macro indicators collected routinely from institutional sources in Europe. METHODS:We carried out a review of macro indicators capable of providing a synthetic description of mental health status and the availability of psychiatric care ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-004-0871-0
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Both individual and familial histories of mental illness are substantial risk factors for suicide in young people. AIM:To explore suicide risk among adolescents and young adults according to detailed aspects of individual and parental psychiatric admission history. METHODS:A nested case-control study was u...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-008-0385-2
更新日期:2008-11-01 00:00:00
abstract::The article describes the objectives and design of a prospective study of the prevalence, incidence and course of psychiatric disorders in a representative sample of non-institutionalized Dutch adults. A total of 7146 men and women aged 18-64, contacted through a multistage sample of municipalities and households, wer...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270050097
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVE:This study aimed to examine sex differences in young people's beliefs about the causes and characteristics of, as well as treatment for, bulimia nervosa. METHOD:Participants (100 male, 102 female) completed a four part questionnaire adapted from other studies. RESULTS:There were sex differences on about a t...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-010-0308-x
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Childhood adversities are associated with an elevated risk for common mental disorders (CMDs). Whether the strength of the association also holds for young employees is unclear. Given the increase in CMD rates in young adults over the past decade, identification of risk factors has important implications for...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-020-01874-0
更新日期:2020-05-13 00:00:00
abstract::The impact of housing and neighborhood context on children's mental health, as addressed by Flouri et al. (Soc Psychiatry Psychiatr Epidemiol, 2014), is an important, understudied topic in social epidemiology. Although the vast majority of this body of research has been descriptive, generating translational research i...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-014-0998-6
更新日期:2015-02-01 00:00:00
abstract::Long-stay psychiatric patients discharged to two group homes from Friern Hospital were studied 1 year and 5 years after discharge. A much greater cohesiveness of social relationships was noted in the smaller home at both time points, whereas in the larger home residents had failed to develop friendships and intimacy w...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270050077
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVE:Previous studies have associated mental distress and disorders with increased health care utilization and costs. However, most studies have selected subjects from treatment facilities or have applied retrospective designs. METHODS:N = 3,300 subjects from the baseline cohort of the Study of Health in Pomerani...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0005-9
更新日期:2009-10-01 00:00:00
abstract:BACKGROUNDS:Immigration to Taiwan is often connected with marriage, resulting in the presence of so-called married immigrants or foreign brides. AIMS:To compare the quality of life (QOL) and prevalence of depression between female married immigrants and native married women. METHODS:Trained assistants used the Medica...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0130-5
更新日期:2010-09-01 00:00:00
abstract:PURPOSE:To investigate the validity of risk factors and established risk measures in predicting community violence in an acute mental health sample up to 20 weeks post-discharge. METHOD:Prospective cohort follow-up study conducted between January 2006 and August 2007. Baseline assessments were conducted while particip...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-011-0366-8
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:The outcome of less intensive case management services, such as the strengths model, is still inconclusive, which suggests a need for more controlled studies. The aim of the present study was to investigate the outcome of a strengths model of case management service (SCM) compared to standard care. METHODS:...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s001270200008
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVES:Most first episode psychosis (FEP) outcome studies are based on patient samples enrolled through an informed consent procedure, which may induce important biases. Our aim was to study the 18-month outcome of FEP in an epidemiological sample of patients treated at the Early Psychosis Prevention and Interventi...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-017-1388-7
更新日期:2017-09-01 00:00:00
abstract::The WHO programme on epidemiology of mental disorders started in the early 1960's with a series of reviews of knowledge. These were followed by activities aiming at four main goals: the standardization of psychiatric diagnosis, classification and statistics; the development of standardized internationally applicable i...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,评审
doi:10.1007/BF00797316
更新日期:1993-08-01 00:00:00
abstract::Hospital admission statistics for depression and mania have shown significant seasonal patterns. The present investigation was conducted to establish the pervasiveness of the impact of seasons on mood disorder presentation at Birmingham (52 degrees North) by gender and ethnicity. Non-mood disorder admissions were exam...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270050045
更新日期:1998-05-01 00:00:00
abstract::This study compared demographic and diagnostic characteristics of a sample of homeless outpatient mental health clinic attenders with a domiciled comparison group from the same clinic. Data on demographic variables and DSM-III-R psychiatric diagnoses were collected over a two-year period on a consecutive sample of 166...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00788244
更新日期:1997-05-01 00:00:00
abstract:BACKGROUND:If attachment theory is to help inform our understanding of relationship difficulties in people with psychosis, it is first important to understand the composition of attachment networks in this group and how attachment style measured with reference to relationships in general actually relates to attachment ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-007-0261-5
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Longitudinal incidence studies of schizophrenia spectrum disorders (SSD) performed in mental health service organizations are prone to confounding factors not found in research performed in the general population. OBJECTIVES:To estimate the incidence rates (IRs) over a 10-year period of SSD (broadly defined...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-013-0651-9
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:Psychotherapy is recommended as first-line treatment in patients presenting with mild-to-moderate depression. Although this disorder is mostly managed in primary care, little is known about General Practitioners' (GPs) practice of prescribing psychotherapy. The objectives were to explore GPs' opinion on psychot...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-013-0717-8
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:In the last decades, many community-based studies have addressed predictors of nursing home placement (NHP) among the elderly. So far, predictors have not been analyzed separately for different age groups. METHODS:For a German GP-sample of 3,208 subjects aged 75 years and older, socio-demographic, clinical,...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00127-010-0333-9
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:Previous studies have reported a very high incidence of schizophrenia for immigrant ethnic groups in Western Europe. The explanation of these findings is unknown, but is likely to involve social stress inherent to the migrant condition. A previous study reported that the incidence of schizophrenia in ethnic ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-008-0381-6
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:This study investigated secular trends in socio-economic status (SES) differentials in Australian suicide (1979-2003), which includes overall declines in male suicide from 1998. METHOD:Suicide rates were stratified by approximate equal-population quintiles of area-based SES for the period 1979-2003 and exam...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-006-0112-9
更新日期:2006-11-01 00:00:00
abstract:PURPOSE:A considerable amount of research has examined violence experiences and psychopathology; however, few studies have examined how multiple settings and experiences of violence are associated with major depressive disorder (MDD) and generalized anxiety disorder (GAD). METHODS:The sample included 2,345 adolescents...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-011-0466-5
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:Better understanding of the relationship between pain and depression in older adults in the community is of particular importance considering the high prevalence of both conditions in these adults. In the present study, the longitudinal relationship between pain and depression in older adults was examined, th...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s127-002-8210-2
更新日期:2002-01-01 00:00:00
abstract::Results from the Finnish UKKI study on longitudinal changes in prevalences of different mental disorder categories in a population cohort (n = 723) are presented. The subjects were investigated three times: in the original survey during 1969-71, and in two follow-ups (5 and 16 years after the original survey). The pre...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00783580
更新日期:1991-01-01 00:00:00