Variation in mental illness and provision of public mental health services

Johnson, William C.; LaForest, Michael; Lissenden, Brett; Stern, Steven

doi:10.1007/s10742-016-0167-3

Cited by 8 publications

(1 citation statement)

References 38 publications

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“…For instance, residing in areas of high material deprivation predicts greater use of primary and hospital-based mental health services [ 5 ]. Johnson et al [ 29 ] found that the supply of publicly funded mental health services in different regions of Virginia, U.S.A was not consistent with need, based on the estimated prevalence of mental health conditions per region. Future research should explore risk factors associated with the shared or individual risks as the different geographical patterns between DV and HA suggests specific features of DV and HA regarding MH, and the true underlying risks of MH displayed on the shared component map clearly suggests hotspots that could likely be explained by geographic variation of socioeconomic factors and MH services.…”

Section: Discussionmentioning

confidence: 99%

Exploring Geographic Variation of Mental Health Risk and Service Utilization of Doctors and Hospitals in Toronto: A Shared Component Spatial Modeling Approach

Law

Perlman

2018

IJERPH

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Mental Health has been known to vary geographically. Different rates of utilization of mental health services in local areas reflect geographic variation of mental health and complexity of health care. Variations and inequalities in how the health care system addresses risks are two critical issues for addressing population mental health. This study examines these issues by analyzing the utilization of mental health services in Toronto at the neighbourhood level. We adopted a shared component spatial modeling approach that allows simultaneous analysis of two main health service utilizations: doctor visits and hospitalizations related to mental health conditions. Our results reflect a geographic variation of both types of mental health service utilization across neighbourhoods in Toronto. We identified hot and cold spots of mental health risks that are common to both or specific to only one type of health service utilization. Based on the evidence found, we discuss intervention strategies, focusing on the hotspots and provision of health services about doctors and hospitals, to improve mental health for the neighbourhoods. Limitations of the study and further research directions are also discussed.

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Section: Discussionmentioning

confidence: 99%