The impact of mobile crisis services on the use of community-based mental health services

被引:11
作者
Dyches, H
Biegel, DE
Johnsen, JA
Guo, SY
Min, MO
机构
[1] Case Western Reserve Univ, Mandel Sch Appl Social Sci, Cleveland, OH 44106 USA
[2] Univ N Carolina, Chapel Hill, NC USA
关键词
D O I
10.1177/104973102237470
中图分类号
C916 [社会工作、社会管理、社会规划];
学科分类号
1204 ;
摘要
To examine the impact of community-based mobile crisis services on postcrisis community-based mental health service use and user characteristics related to likelihood of postcrisis service use. Method: Differences in use of posterisis mental health services and timing between a community-based intervention cohort and a matched hospital-based cohort were assessed using a Cox proportional hazards model. Results: A mobile crisis intervention consumer was 17% more likely to receive community-based mental health services within 90 days after the crisis event. Controlling for prior service use, mobile crisis intervention consumers with no prior mental health service use were 48% more likely to receive community-based mental health services within 90 days after the crisis event than a consumer from the hospital-based intervention cohort. Consumers more likely to use postcrisis services were African American, homeless, experiencing acute problems, previous mental health service users, and severely mentally disabled. Conclusions: Implications for social work practice are discussed.
引用
收藏
页码:731 / 751
页数:21
相关论文
共 33 条
[11]  
GILLIG P, 1990, HOSP COMMUNITY PSYCH, V41, P804
[12]   Assessing the impact of community-based mobile crisis services on preventing hospitalization [J].
Guo, SY ;
Biegel, DE ;
Johnsen, JA ;
Dyches, H .
PSYCHIATRIC SERVICES, 2001, 52 (02) :223-228
[13]   PREDICTABILITY OF REHOSPITALIZATION FOR SCHIZOPHRENIA [J].
HARO, JM ;
EATON, WW ;
BILKER, WB ;
MORTENSEN, PB .
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 1994, 244 (05) :241-246
[14]  
Klinkenberg WD, 1996, PSYCHIATR SERV, V47, P487
[15]  
Klinkenberg WD, 1998, COMPR PSYCHIAT, V39, P137
[16]   Race as a moderator of the prediction of receipt of aftercare and psychiatric hospitalization [J].
Klinkenberg, WD ;
Calsyn, RJ .
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, 1997, 43 (04) :276-284
[17]   Predictors of receiving aftercare 1, 3, and 18 months after a psychiatric emergency room visit [J].
Klinkenberg, WD ;
Calsyn, RJ .
PSYCHIATRIC QUARTERLY, 1999, 70 (01) :39-51
[18]  
Lawless J.F., 2011, Statistical models and methods for lifetime data, V2nd
[19]   The use of mental health services in Ontario: Epidemiologic findings [J].
Lin, E ;
Goering, P ;
Offord, DR ;
Campbell, D ;
Boyle, MH .
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE, 1996, 41 (09) :572-577
[20]  
MOLLENHAUER MN, 1996, INTEGRATED MENTAL HL, P238