Growing inequities in mental health crisis services offered to indigent patients in Puerto Rico versus the US states before and after Hurricanes Maria and Irma.
health care disparities
health care organizations and systems
indigent care
mental health
psychiatry
uninsured/safety net providers
Journal
Health services research
ISSN: 1475-6773
Titre abrégé: Health Serv Res
Pays: United States
ID NLM: 0053006
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
pmc-release:
01
04
2024
pubmed:
1
11
2022
medline:
16
3
2023
entrez:
31
10
2022
Statut:
ppublish
Résumé
To assess changes in the availability of mental health crisis services in Puerto Rico relative to US states before and after Hurricanes Maria and Irma. National Mental Health Services Surveys conducted in 2016 and 2020. Repeated cross-sectional design. The independent variable was mental health facility location in Puerto Rico or a US state. Dependent variables were the availability of three mental health crisis services (psychiatric emergency walk-in services, suicide prevention services, and crisis intervention team services). The proportion and per 100,000 population rate of facilities offering crisis services were calculated. The availability of crisis services at mental health facilities in Puerto Rico remained stable between 2016 and 2020. These services were offered less at indigent care facilities in Puerto Rico than US states (e.g., 38.2% vs. 49.5% for suicide prevention, p = 0.06) and the magnitude of difference increased following Hurricane Maria. There are disparities between Puerto Rico and US states in the availability of mental health crisis services for indigent patients.
Identifiants
pubmed: 36310433
doi: 10.1111/1475-6773.14092
pmc: PMC10012226
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
325-331Subventions
Organisme : NIMHD NIH HHS
ID : R01 MD013866
Pays : United States
Organisme : NIMHD NIH HHS
ID : R01 MD016426
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH131649
Pays : United States
Informations de copyright
© 2022 Health Research and Educational Trust.
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