Symptoms, circumstances, and service systems
Pathways to psychiatric crisis service use among uninsured young adults
Bibliographic Data
| ID | 9564417 |
|---|---|
| Authors | Sarah C Narendorf (0000-0002-6128-441X, University of Houston), Michelle R Munson (0000-0002-3415-8610, New York University), Micki Washburn (0000-0003-1486-2501, University of Houston), Nicole Fedoravicius, Richard Wagner (0000-0001-8793-0507, University of Houston), Sara K Flores (The Harris Center for Mental Health and IDD) |
| Year | 2017 |
| Volume | 87 |
| Issue | 5 |
| Pages | 585-596 |
| Publication date | 2017-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Orthopsychiatry (JOURNAL) |
| Journal identifiers | ISSN: 0002-9432 • E-ISSN: 1939-0025 |
| Publisher | American Psychological Association (APA) (PUBLISHER) |
| DOI | 10.1037/ort0000218 |
| PMID | 27775408 |
| OpenAlex | W2539291865 |
| Language | EN |
| Citations received | 2 |
| References cited | 5 |
Young adults have low rates of outpatient service utilization and higher rates of emergency service use compared to older adults. This study explored pathways to crisis service use for uninsured young adults who accessed emergency psychiatric treatment. Participants were 55 young adults (ages 18-25) who were on an inpatient short-term stabilization unit and had qualifying diagnoses for outpatient services (bipolar, major depression, or schizophrenia). Semistructured qualitative interviews were conducted to understand decision-making and the events that led to service use. A team of coders used an open coding approach to develop a codebook and participated in iterative discussions of coded text to generate results presented. Themes across 3 dimensions were identified. Participants formed the intention to seek treatment through the interaction of escalating symptoms, triggering events, and motivating factors. Intention was translated to actualized service use through individual and systemic facilitators. Natural supports and service systems influenced the entire process. Findings highlight the importance of understanding motivating factors to better engage young people in treatment and including their support systems in efforts to increase awareness of problems and treatments. Systemic barriers identified suggest the need for enhanced coordination of care across systems such as drug and alcohol treatment, homeless services, and criminal justice and for ready access to outpatient services to reduce crisis psychiatric service use. (PsycINFO Database Record
Coding (social sciences) · Criminal justice · Emergency department · MEDLINE · Psychiatry · PsycINFO · Service (business) · Young adult · Child and Adolescent Psychosocial and Emotional Development · Medicine · Mental Health and Patient Involvement · Psychiatric care and mental health services · Psychology · Gerontology
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,33 |
| Citation span | 2020 - 2025 (6) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |