Ecologically oriented research of psychiatric service utilization has almost exclusively dealt with regular in-and out-patient services.
There are hardly any results on the ecological distribution of utilization rates of psychiatric emergency services.
This study aims at investigating the topographic distribution of utilization rates of the psychiatric emergency service out of office hours at the Central Institute of Mental Health (CIMH.
Mannheim) from 1982 to 1993.
Within this period of time 6463 patients with a total of 14,628 contacts were registered at the CIMH.
In order to explain topographic differences in the utilization rates, ecological variables, the distance between patients'residence and service location, and diagnosis were taken into account.
The study shows that ecological, distance-related and diagnostic factors all influence the utilization of the psychiatric emergency service in Mannheim.
First contact and contact rates decrease from the city centre toward the outskirts.
There was a strong general effect of ecological variables : the utilization rates were higher for districts with worse ecological conditions and specific for some diagnostic groups.
The greatest difference in utilization rates between the city centre and the outskirts was found for schizophrenia and psychoactive substance use disorders, whereas there was no difference with regard to organic and symptomatic mental disorders. (...)
Mots-clés Pascal : Utilisation, Service santé, Urgence psychiatrique, Santé mentale, Allemagne, Europe, Répartition géographique, Homme
Mots-clés Pascal anglais : Use, Health service, Psychiatric emergency, Mental health, Germany, Europe, Geographic distribution, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0488181
Code Inist : 002B18H05B. Création : 19/02/1999.