The wider social environment and mental health service use

Acta Psychiatrica Scandinavica
Marjan DrukkerJim van Os

Abstract

Previous studies associating neighbourhood context with mental health service use typically included limited sets of confounders. A data set including patients registered in a Case Register and population controls was subjected to multilevel analyses, including neighbourhood exposures and individual level confounders. In addition, days of care consumption of patients was addressed. The association between socioeconomic deprivation and social capital on the one hand and mental health service use rates on the other could be attributed to individual level differences. However, number of days of service consumption was higher in neighbourhoods with more informal social control. In residentially stable neighbourhoods only, socioeconomic deprivation was associated with lower levels of service consumption. Higher levels of social control may induce patients to remain in contact with mental health services. Furthermore, higher levels of deprivation in neighbourhoods with little population mobility may result in reduced expectations of recovery and/or increased tolerance.

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Citations

Jan 21, 2006·Social Psychiatry and Psychiatric Epidemiology·Barbara LayWulf Rössler
Aug 6, 2008·Journal of General Internal Medicine·L Miriam DickinsonLisa Meredith
Jan 19, 2008·BMC Public Health·Jack DekkerRobert Schoevers
Oct 11, 2011·BMC Health Services Research·Berta Moreno-KüstnerJuan A Bellón
Jun 6, 2006·Social Psychiatry and Psychiatric Epidemiology·Marjan DrukkerJim van Os
Apr 12, 2005·Acta Psychiatrica Scandinavica·B LayW Rössler
Nov 8, 2006·Acta Psychiatrica Scandinavica. Supplementum·L Salvador-CarullaJ L Ayuso-Mateos
Nov 8, 2006·Acta Psychiatrica Scandinavica. Supplementum·L Salvador-CarullaUNKNOWN DESDE Consensus Panel
Nov 8, 2006·Acta Psychiatrica Scandinavica. Supplementum·M PezzimentiUNKNOWN PSICOST Group
May 16, 2008·Health Services Research·Kathryn Pitkin Derose
Jul 14, 2006·Acta Psychiatrica Scandinavica·W K H FakhouryUNKNOWN PLAO Study Group
Apr 25, 2008·Health & Place·Lars E PetersonDavid G Litaker
Aug 4, 2016·BMC Health Services Research·Masaaki Mizuochi
Jan 29, 2009·Medical Care Research and Review : MCRR·Kathryn Pitkin Derose, Danielle M Varda
Nov 30, 2018·BMC Family Practice·M C CastillejosB Moreno-Küstner
Jul 31, 2021·International Journal of Mental Health Nursing·Christian Burr, Dirk Richter

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