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Race/ethnicity and psychiatric emerg...

Kessell, Eric Ryan.

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Race/ethnicity and psychiatric emergencies: The interrelationship of individual and neighborhood characteristics.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Race/ethnicity and psychiatric emergencies: The interrelationship of individual and neighborhood characteristics./
Author:	Kessell, Eric Ryan.
Description:	113 p.
Notes:	Adviser: Ralph Catalano.
Contained By:	Dissertation Abstracts International68-08B.
Subject:	Health Sciences, Epidemiology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3275466
ISBN:	9780549167839

Race/ethnicity and psychiatric emergencies: The interrelationship of individual and neighborhood characteristics.
Kessell, Eric Ryan.

Race/ethnicity and psychiatric emergencies: The interrelationship of individual and neighborhood characteristics. - 113 p.

Adviser: Ralph Catalano.

Thesis (Ph.D.)--University of California, Berkeley, 2007.

Background. Persistent racial/ethnic disparities have been observed in the use of psychiatric emergency services (PES). This project explored how friend/family versus stranger involvement in PES admissions varies across racial/ethnic groups and is related to psychosocial functioning, and how neighborhood racial/ethnic composition is associated with the race-specific rate of hospitalizations and the level of psychosocial functioning amongst persons admitted involuntarily to PES.

ISBN: 9780549167839Subjects--Topical Terms:

1019544
Health Sciences, Epidemiology.

Race/ethnicity and psychiatric emergencies: The interrelationship of individual and neighborhood characteristics.
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005 20110830
008 110831s2007 ||||||||||||||||| ||eng d
020 $a 9780549167839
035 $a (UMI)AAI3275466
035 $a AAI3275466
040 $a UMI $c UMI
100 1 $a Kessell, Eric Ryan. $3 1285800
245 1 0 $a Race/ethnicity and psychiatric emergencies: The interrelationship of individual and neighborhood characteristics.
300 $a 113 p.
500 $a Adviser: Ralph Catalano.
500 $a Source: Dissertation Abstracts International, Volume: 68-08, Section: B, page: 5111.
502 $a Thesis (Ph.D.)--University of California, Berkeley, 2007.
520 $a Background. Persistent racial/ethnic disparities have been observed in the use of psychiatric emergency services (PES). This project explored how friend/family versus stranger involvement in PES admissions varies across racial/ethnic groups and is related to psychosocial functioning, and how neighborhood racial/ethnic composition is associated with the race-specific rate of hospitalizations and the level of psychosocial functioning amongst persons admitted involuntarily to PES.
520 $a Methods. Study staff abstracted medical and legal records from three months of involuntary admissions to San Francisco's public PES department and calibrated a measure of patient psychosocial functioning, the Global Assessment Scale (GAS) score. GAS scores were then predicted with multivariate regression; explanatory variables included gender, substance use, homelessness, racial/ethnic group (Asian, Black, Latino, White and other), friend/family involvement, and interactions between racial/ethnic group and friend/family involvement. Census data were used to estimate the racial/ethnic and socioeconomic composition of census tracts in which admission events occurred. Poisson and negative binomial regression were used to estimate race-specific admission rates for each tract.
520 $a Results. In 717 community-identified admissions, friend/family involvement was observed in significantly more Asian (56.4%) and Latino (47.4%) patients than white (28.5%) or Black (27.4%) patients. Functioning in Black (P<0.01) and Asian patients (p<0.01) was lower than in white patients, and friend/family involvement was associated with higher functioning (p<0.01). However, interactions between race/ethnicity and friend/family involvement revealed that racial/ethnic differences in functioning were due to white patient friend/family-involved admissions occurring at higher levels functioning than in any other group. Admission rates of Black patients by strangers were inversely associated with the proportion of Black residents, but functioning was not associated with neighborhood composition.
520 $a Conclusions. The relationship of the patient to those causing the admission was a stronger predictor of functioning than was neighborhood composition. Racial/ethnic differences in functioning at PES admission may be due in part to friends/family members of white patients seeking emergency treatment at less-severe levels of impairment, not due to strangers' tolerance varying by the patient's race/ethnicity. Assuming that the burden of care increases with lower patient functioning, Asian and Black patients' friends/family who delay treatment may experience a greater burden than their white counterparts.
590 $a School code: 0028.
650 4 $a Health Sciences, Epidemiology. $3 1019544
650 4 $a Health Sciences, Mental Health. $3 1017693
650 4 $a Health Sciences, Public Health. $3 1017659
690 $a 0347
690 $a 0573
690 $a 0766
710 2 $a University of California, Berkeley. $3 687832
773 0 $t Dissertation Abstracts International $g 68-08B.
790 $a 0028
790 1 0 $a Catalano, Ralph, $e advisor
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3275466