The geographical mobility of severely mentally ill residents in London

Lamont, Alwyn; Ukoumunne, Obioha C; Tyrer, Peter; Thornicroft, Graham; Patel, Raju Kk; Slaughter, James

doi:10.1007/s001270050199

Cited by 42 publications

(28 citation statements)

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“…This has been primarily characterised by linking interests in place (geography and setting) and relating this to spatial health service issues of need, access and provision. The work of Giggs and Cooper (1987) focused on the relationship between the clustering of mental ill-health in city centre areas and how this might have an explanation associated with proximity to services, while issues of mobility also arose in the work of Lamont, Ukoumunne, Tyrer, Thornicroft and Slaughter (2000). Dear and Wolch (1997) focused on the impacts of de-institutionalisation of mental health provision on local geographies of mental health in cities, a pattern common to many western societies.…”

Section: Health Geographiesmentioning

confidence: 99%

Place and provision: Mapping mental health advocacy services in London

Foley

Platzer

2007

Social Science & Medicine

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The National Health Service (NHS) Executive for London carried out an investigation in 2002 as part of their wider mental health strategy to establish whether existing mental health advocacy provision in the city was meeting need. The project took a two-part approach, with an emphasis on, (a) mapping the provision of advocacy services and, (b) cartographic mapping of service location and catchments. Data were collected through a detailed questionnaire with service providers in collaboration with the Greater London Mental Health Advocacy Network (GLMHAN) and additional health and government sources. The service mapping identified some key statistics on funding, caseloads and models of service provision with an additional emphasis on coverage, capacity, and funding stability. The questionnaire was augmented by interviews and focus groups with commissioners, service providers and service users and identified differing perspectives and problems, which informed the different perspectives of each of these groups. The cartographic mapping exercise demonstrated a spatially-even provision of mental health advocacy services across the city with each borough being served by at least one local service as well as by London wide specialist schemes. However, at local level, no one borough had the full range of specialist provision to match local demographic need. Ultimately the research assisted the Advisory Group in providing commissioning agencies with clear information on the current status of city-wide mental health advocacy services, and on gaps in existing advocacy provision alongside previously unconsidered geographical and service dimensions of that provision. r

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Section: Health Geographiesmentioning

confidence: 99%

Place and provision: Mapping mental health advocacy services in London

Foley

Platzer

2007

Social Science & Medicine

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“…There is a strong body of evidence that suggests residential mobility is more common among psychiatric patients and the mentally ill than with the general population. [41][42][43][44] This evidence suggests that we may be underestimating the return visit rates of the self-inflicted injury group. Although it may be more likely that individuals in the self-inflicted injury group relocated outside of the city, we cannot verify this in the current study.…”

Section: Limitationsmentioning

confidence: 99%

Utilization of the emergency department after self‐inflicted injury

Colman¹,

Dryden²,

Thompson³

et al. 2004

Academic Emergency Medicine

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Objectives: To compare emergency department (ED) utilization by individuals who present with self-inflicted injuries with utilization by control populations. Individuals with self-inflicted injuries commonly present to the ED, yet little research has been conducted on this population in this setting. Methods: Individuals who had an ED presentation in 1995-1996 for a self-inflicted injury were tracked prospectively for three to four years of follow-up. This group was matched by age and gender to two groups: individuals who presented with asthma and individuals who presented with other complaints. Data on return visits to the ED were collected from an administrative database. Groups were compared on rates of return visits. Results: There were 478 individuals randomly selected for each group. Individuals in the self-inflicted injury group had higher rates of return visits to the ED over the follow-up period: 232.7 visits per 100 person-years for the self-inflicted injury group, compared with 117.6 for the asthma group, and 83.0 for the ''other'' group (p\0.001). The self-inflicted injury group had higher rates for many types of diagnoses: self-inflicted injuries, mental disorders, substance abuse, unintentional injuries, assault, headache pain, and other complaints (all p\0.001). Patients with more than three repeat visits per year were more common in the self-inflicted injury group (20.1%) than the asthma or ''other'' groups (9.2% and 5.6%, respectively). Conclusions: Individuals who harm themselves are chronic users of the ED. The ED represents an opportune setting from which individuals can be directed to appropriate treatment programs.

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“…Inter-region migration, including rural-to-urban migration, may account for geographic concentrations of individuals who require specialized health care services. Previous research has found, for example, that individuals with mental illness tend to move into areas where they have previously obtained health care services (Breslow, Klinger, & Erickson, 1998;Lamont et al, 2000). Health service planners can use data on mobility in order to ensure a good match between population needs and the provision of services.…”

mentioning

confidence: 97%

“…This is particularly evident in studies of the residential mobility of individuals with SMI. Data are primarily obtained from the case registries of specific facilities or service providers (e.g., Abood et al, 2002;Chesteen et al, 1970;Lamont et al, 2000); this limits the generalizability of study findings to the larger population of individuals diagnosed with SMI. Moreover, population-based data have rarely been used to select comparison groups that are representative of either the general population or of populations with different types of health conditions (e.g., Lesage & Tansella, 1989).…”

mentioning

confidence: 99%

Residential Mobility and Severe Mental Illness: A Population-based Analysis

Lix

Hinds

DeVerteuil

et al. 2006

Adm Policy Ment Health

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This research uses population-based administrative data linking health service use to longitudinal postal code information to describe the residential mobility of individuals with a severe mental illness (SMI), schizophrenia. This group is compared to two cohorts, one with no mental illness, and one with a severe physical illness of inflammatory bowel disease. The percentage of individuals with one or more changes in postal code in a 3-year period is examined, along with measures of rural-to-rural regional migration and rural-to-urban migration. Demographic, socioeconomic, and health service use characteristics are examined as determinants of mobility. The odds of moving were twice as high for the SMI cohort as for either of the other two cohorts. There were no statistically significant differences in rural-to-rural or rural-to-urban migration among the cohorts. Marital status, income quintile, and use of physicians are consistent determinants of mobility. The results are discussed from the perspectives of health services planning and access to housing.

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The geographical mobility of severely mentally ill residents in London

Cited by 42 publications

References 0 publications

Place and provision: Mapping mental health advocacy services in London

Place and provision: Mapping mental health advocacy services in London

Utilization of the emergency department after self‐inflicted injury

Residential Mobility and Severe Mental Illness: A Population-based Analysis

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