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Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
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 services research
08 Nov 2022
PMID: 36310433
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective 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. Data Sources/Study Setting National Mental Health Services Surveys conducted in 2016 and 2020. Study design 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). Data Collection/Extraction Methods The proportion and per 100,000 population rate of facilities offering crisis services were calculated. Principal Findings 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. Conclusions There are disparities between Puerto Rico and US states in the availability of mental health crisis services for indigent patients.
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Details
- Title
- 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
- Creators
- Jonathan Purtle - Supreme Council Of HealthDamaris Lopez Mercado - Drexel UniversityClara B. Barajas - Drexel UniversityAlexandra C. Rivera-Gonzalez - Drexel Univ, Dornsife Sch Publ Hlth, Dept Hlth Management & Policy, Philadelphia, PA 19104 USALigia Chavez - Medical Sciences Campus, Behavioral Sciences Research Institute, Rio Piedras, Puerto Rico.Glorisa Canino - University of Puerto Rico, Medical Sciences CampusAlexander N. Ortega - Drexel University
- Publication Details
- Health services research
- Publisher
- Wiley
- Number of pages
- 7
- Grant note
- R01MD016426; R01MD013866 / National Institute on Minority Health and Health Disparities (NIMHD) at the National Institutes of Health (NIH)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000879754500001
- Scopus ID
- 2-s2.0-85141623116
- Other Identifier
- 991019296799404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services