Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-23T01:05:37.558Z Has data issue: false hasContentIssue false
  • English
  • Français

The relevance of socio-demographic and resource factors in the use of acute psychiatric in-patient care in the Atlantic Provinces of Canada

Published online by Cambridge University Press:  09 July 2009

Alex Richman ,
Carol Boutilier  and
Pamela Harris
Alex Richman*
Affiliation:
Departments of Psychiatry and Preventive Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Carol Boutilier
Affiliation:
Departments of Psychiatry and Preventive Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Pamela Harris
Affiliation:
Departments of Psychiatry and Preventive Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
*
1 Address for correspondence: Dr A. Richman Training and Research Unit in Psychiatric Epidemiology, Departments of Psychiatry and Preventive Medicine, Dalhousie University, 5849 University Avenue, Halifax, Nova Scotia, B3H 4H7, Canada.
Get access Rights & Permissions [Opens in a new window]

Synopsis

This study assessed the inter-relations of socio-demographic, resource and policy factors with standardized measures of short-term psychiatric bed-use in 42 counties of Atlantic Canada. The policy factor made up two-thirds of the total variability (61%) accounted for among males, and nearly one-half of the 47% accounted for among females. An accurate assessment of in-patient resource needs is seen as resulting from intertwining morbidity surveys with utilization studies.

Type
Research Article
Information
Psychological Medicine , Volume 14 , Issue 1 , February 1984 , pp. 175 - 182
Copyright
Copyright © Cambridge University Press 1984

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bloom, B. L. (1975). Changing Patterns of Psychiatric Care. Human Sciences Press: New York.Google Scholar
Boutilier, C. M. (1981). Alternate methods to account for variation in use of specialized acute psychiatric in-patient services in the Atlantic Provinces. Thesis presented to the Graduate Faculty of the School of Physical Education, Dalhousie University, Nova Scotia.Google Scholar
Brenner, M. H. (1967). Economic change and mental hospitalization. New York State, 1910–1960. Social Psychiatry 2(4), 180–188.CrossRefGoogle Scholar
‘Declaration of Hawaii’ (1977). Psychiatric New 23s 10, p. 29.Google Scholar
Detsky, A. S. (1981). The Economic Foundation of National Health Policy. Ballinger Publishing Company: Cambridge, Mass.Google Scholar
Dohrenwend, B. P. & Dohrenwend, B. S. (1969). Social Status and Psychological Disorder: a Causal Inquiry. John Wiley and Sons: New York.Google Scholar
Dohrenwend, B. P. & Dohrenwend, B. S. (eds.) (1974). Stressful Life Events: Their Nature and Effects. John Wiley and Sons: New York.Google Scholar
Faris, R. E. L. & Dunham, H. W. (1939). Mental Disorder in Urban Areas. University of Chicago Press: Chicago.Google Scholar
Forster, D. P. (1979). The relationships between health needs, socio-environmental indices, general practitioner resources and utilization. Journal of Chronic Diseases 32, 333–337.CrossRefGoogle Scholar
Goldsmith, H. F. (1961). The measuring of migration: a study of the migration expectations of high school students. Unpublished Ph.D. dissertation, Department of Sociology, Michigan State University.Google Scholar
Holahan, C. J., Wilcox, B. L., Spearly, J. L. & Campbell, M. D. (1979). The ecological perspective in community mental health. Community Mental Health Review 4 (2), 1–9.CrossRefGoogle ScholarPubMed
Locke, B. Z. & Duvall, H. J. (1964). Migration and mental illness. Eugenics Quarterly 11(4), 216–221.CrossRefGoogle ScholarPubMed
Longest, J. & Konan, M. (1979). A Study of Deficiencies and Differentials in the Distribution of Mental Health Resources in Facilities. National Institute of Mental Health, Series B No. 15. DHEW Publication No. (ADM) 79–517. Superintendent of Documents, US Government Printing Office, Washington, D.C., 20402.CrossRefGoogle Scholar
Maynard, A. (1972). Inequalities in psychiatric care in England and Wales. Social Science and Medicine 6, 221–227.CrossRefGoogle ScholarPubMed
Mechanic, D. (1978). Medical Sociology (2nd edn). Free Press: New York.Google Scholar
Pollack, E. S. (1977). Mental Health Demographic Profile for Health Services Planning. National Centre for Health Statistics, Statistical Notes for Health Planners No. 4, DHEW (HRA) 77–1237. Health Resources Administration, Fishers Lane, Rockville, MD 20857.Google ScholarPubMed
Richman, A. (1966). Assessing the need for psychiatric care: A review of the validity of epidemiologie surveys. Canadian Psychiatric Association Journal 11(3), 179–187.CrossRefGoogle Scholar
Richman, A. (1981). Bed needs for acute psychiatric care. National norms for Canada. Unpublished paper.Google Scholar
Rosen, B. M., Lawrence, L., Goldsmith, H. F., Windle, C. D. & Shambaugh, J. P. (1975). Mental Health Demographic Profile System Description, Purpose, Contents and Sampler of Uses. Series C, No. 11, DHEW Pubi. No. (ADM) 76–263. Alcohol, Drug Abuse and Mental Health Administration, Washington, US Government Printing Office.Google Scholar
Rosen, B. M., Goldsmith, H. F. & Redick, R. W. (1979). Demographic and social indicators: uses in mental health planning in small areas. World Health Statistics 32(1), 11–101.Google ScholarPubMed
Schulberg, H. C. & Wechsler, H. (1967). The uses and misuses of data in assessing mental health needs. Community Mental Health Journal 3(4), 389–395.CrossRefGoogle ScholarPubMed
Siegel, C., Meisner, M. & Laska, E. (1973). A look at equity. In American Statistical Association Proceedings of the Social Statistics Section, pp. 404–408. American Statistical Association: Washington D.C.Google Scholar
Struening, E. L. (1975). Social area analysis as a method of evaluation. In Handbook of Evaluation Research, Vol. 1 (ed. Struening, E. and Guttentag, M.), pp. 519–536. Sage Publications: Beverly Hills, CA.Google Scholar
Wallace, H. M., Eisner, V. & Dooley, S. (1967). Availability and usefulness of selected health and socioeconomic data for community planning. American Journal of Public Health 57(5), 762–771.CrossRefGoogle ScholarPubMed
Warheit, G., Robins, L., Swanson, E., McGinnis, N. & Schwab, J. J. (1975). A review of selected research on the relationship of socio-demographic factors to mental disorders and treatment outcomes 1968–1974. Department of Psychiatry, University of Florida: Gainesville.Google Scholar
West, P. A. (1981). Theoretical and practical equity in the national health service in England. Social Science and Medicine 150, 117–122.Google Scholar
Williams, P. (1979). Deciding how to treat – the relevance of psychiatric diagnosis. Psychological Medicine 9, 179–186.CrossRefGoogle ScholarPubMed
Windle, C., Goldsmith, H. F., Shambaugh, J. P. & Rosen, B. M. (1975). Demographic Differences between Areas with and without Federal CMHC Grants. National Institute of Mental Health, MHDPS Working Paper No. 22, 05.Google Scholar