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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Anne E. Rhodes, PhD, St. Michael's Hospital, Toronto and the Departments of Psychiatry and Public Health Sciences, University of Toronto, 30 Bond Street, Toronto, ON M5B 1W8, Canada, 416-864-6060 x 2693, rhodesa@smh.toronto.on.ca, Mohammad Agha, PhD, St. Michael's Hospital, Toronto and the Institute for Clinical Evaluative Sciences, 70 Richmond Street, Toronto, ON M5B 1W8, Canada, Marisa Creatore, MSc, St. Michael's Hospital, Toronto, 70 Richmond Street, Toronto, ON M5B 1W8, Canada, and R Glazier, MD, MSc, St. Michael's Hospital, Toronto and the Department of Family Medicine, University of Toronto, 70 Richmond Street, Toronto, ON M5B 1W8, Canada.
Many communities are actively engaged in efforts to reform mental health care through shifting resources from inpatient to community based settings. Under ideal conditions, psychiatric admission rates would decrease over time, gradually and consistently in all communities. However, well-intentioned plans do not always proceed as expected. It is well known that psychiatric admission rates are higher in socially disadvantaged areas (defined by census data). Changes in the nature and magnitude of this ecological relationship over time can be used as a tool for health care planners to identify whether some communities are faring better than others and to form appropriate responses. We will describe changes over time in psychiatric hospitalization rates (1991-1998) in socially disadvantaged and advantaged communities in a Canadian inner city. Acute inpatient mental health stays are tracked in all hospitals and universally insured. Adjustment for underlying age and sex differences and autocorrelation over time within areas will be made through multivariate analyses. Hypotheses about what factors may explain the results will be discussed; for example, social and economic changes. Participants will be encouraged to identify other potential explanations.
Learning Objectives:
Keywords: Community Planning, Mental Health Services
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.