Crisis Visits and Psychiatric Hospitalizations Among Patients Attending a Community Clinic in Rural Southern California
Bibliographic Data
| ID | 8909131 |
|---|---|
| Authors | Alvaro Sicilia (0000-0001-9436-8743, University of California San Diego, corresponding author), Álvaro Camacho, Bernardo Ng (0000-0002-6639-4765, University of California San Diego), Anabel Bejarano (Alliant University), Alan Simmons, Alan N Simmons (0000-0003-3963-2112, University of California San Diego), Denise Chavira, Denise A Chavira (0000-0002-6403-2509, University of California San Diego) |
| Year | 2010 |
| Volume | 48 |
| Issue | 2 |
| Pages | 133-137 |
| Publication date | 2010-10-05 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Community Mental Health Journal (JOURNAL) |
| Journal identifiers | ISSN: 0010-3853 • E-ISSN: 1573-2789 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10597-010-9350-0 |
| PMID | 20924788 |
| PMCID | PMC3157591 |
| OpenAlex | W1997515728 |
| Language | EN |
| References cited | 20 |
Ethnic minorities from disadvantaged socioeconomic backgrounds report increased utilization of mental health emergency services; however findings have been inconsistent across ethnic/racial groups. In this study we describe patients who present to a rural crisis unit in Southern California, examine rates of psychiatric hospitalizations across ethnic/racial groups, and investigate factors that are associated with increased psychiatric hospitalizations in this sample. This is a retrospective study of 451 racially and ethnically diverse patients attending a crisis unit in Imperial County, California. Chart review and data abstraction methods were used to characterize the sample and identify factors associated with psychiatric crises and subsequent hospitalizations. The sample was predominantly Latino/Hispanic (58.5%). Based on chart review, common psychosocial stressors which prompted a crisis center visit were: (a) financial problems; (b) homelessness; (c) partner or family conflict; (d) physical and health problems; (e) problems at school/work; (f) medication compliance; (g) aggressive behavior; (h) delusional behavior; (i) addiction and (j) anxiety/depression. Bivariate analyses revealed that Hispanics had a disproportionately lower rate of psychiatric hospitalizations while African Americans had a higher rate. Multivariate analyses which included demographic, clinical and psychosocial stressor variables revealed that being African American, having a psychotic disorder, and presenting as gravely disabled were associated with a higher likelihood of hospitalization while partner/family conflict was associated with a lesser likelihood in this rural community. These data elucidate the need for longitudinal studies to understand the interactions between psychosocial stressors, ethnicity and social support as determinants of psychiatric hospitalizations
Environmental health · Ethnic group · Mental health · Population · Psychiatry · Psychosocial · Socioeconomic status · Stressor · Demography · Homelessness and Social Issues · Medicine · Mental Health Treatment and Access · Psychiatric care and mental health services · Gerontology
Mental Health Care for Latinos
Resiliency in the Face of Disadvantage
Rethinking the Hispanic Paradox
Social Anatomy of Racial and Ethnic Disparities in Violence
Racial/Ethnic Minority Children’s Use of Psychiatric Emergency Care in California’s Public Mental Health System
Socioeconomic Status, Resources, Psychological Experiences, and Emotional Responses
Community mental health and ethnic minority populations
| Citation velocity | historical |
|---|---|
| Highly cited | No |