Rates of voluntary and compulsory psychiatric in-patient treatment in England: an ecological study investigating associations with deprivation and demographics

P. Keown, O. McBride, L. Twigg, D. Crepaz-Keay, E. Cyhlarova, H. Parsons, J. Scott, K. Bhui, S. Weich

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background
Individual variables and area-level variables have been identified as explaining much of the variance in rates of compulsory in-patient treatment.

Aims
To describe rates of voluntary and compulsory psychiatric in-patient treatment in rural and urban settings in England, and to explore the associations with age, ethnicity and deprivation.

Method
Secondary analysis of 2010/11 data from the Mental Health Minimum Dataset.

Results
Areas with higher levels of deprivation had increased rates of in-patient treatment. Areas with high proportions of adults aged 20–39 years had the highest rates of compulsory in-patient treatment as well as the lowest rates of voluntary in-patient treatment. Urban settings had higher rates of compulsory in-patient treatment and ethnic density was associated with compulsory treatment in these areas. After adjusting for age, deprivation and urban/rural setting, the association between ethnicity and compulsory treatment was not statistically significant.

Conclusions
Age structure of the adult population and ethnic density along with higher levels of deprivation can account for the markedly higher rates of compulsory in-patient treatment in urban areas.
LanguageEnglish
Pages157-161
JournalThe British Journal of Psychiatry
Volume209
Issue number2
Early online date1 Aug 2016
DOIs
Publication statusPublished - 2 Jan 2018

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England
Psychiatry
Demography
Therapeutics
Deprivation
Demographics
Population Density
Mental Health

Keywords

  • compulsory admission ethnicity deprivation

Cite this

Keown, P. ; McBride, O. ; Twigg, L. ; Crepaz-Keay, D. ; Cyhlarova, E. ; Parsons, H. ; Scott, J. ; Bhui, K. ; Weich, S. / Rates of voluntary and compulsory psychiatric in-patient treatment in England: an ecological study investigating associations with deprivation and demographics. In: The British Journal of Psychiatry. 2018 ; Vol. 209, No. 2. pp. 157-161.
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abstract = "BackgroundIndividual variables and area-level variables have been identified as explaining much of the variance in rates of compulsory in-patient treatment.AimsTo describe rates of voluntary and compulsory psychiatric in-patient treatment in rural and urban settings in England, and to explore the associations with age, ethnicity and deprivation.MethodSecondary analysis of 2010/11 data from the Mental Health Minimum Dataset.ResultsAreas with higher levels of deprivation had increased rates of in-patient treatment. Areas with high proportions of adults aged 20–39 years had the highest rates of compulsory in-patient treatment as well as the lowest rates of voluntary in-patient treatment. Urban settings had higher rates of compulsory in-patient treatment and ethnic density was associated with compulsory treatment in these areas. After adjusting for age, deprivation and urban/rural setting, the association between ethnicity and compulsory treatment was not statistically significant.ConclusionsAge structure of the adult population and ethnic density along with higher levels of deprivation can account for the markedly higher rates of compulsory in-patient treatment in urban areas.",
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Rates of voluntary and compulsory psychiatric in-patient treatment in England: an ecological study investigating associations with deprivation and demographics. / Keown, P.; McBride, O.; Twigg, L.; Crepaz-Keay, D.; Cyhlarova, E.; Parsons, H.; Scott, J.; Bhui, K.; Weich, S.

In: The British Journal of Psychiatry, Vol. 209, No. 2, 02.01.2018, p. 157-161.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Rates of voluntary and compulsory psychiatric in-patient treatment in England: an ecological study investigating associations with deprivation and demographics

AU - Keown, P.

AU - McBride, O.

AU - Twigg, L.

AU - Crepaz-Keay, D.

AU - Cyhlarova, E.

AU - Parsons, H.

AU - Scott, J.

AU - Bhui, K.

AU - Weich, S.

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N2 - BackgroundIndividual variables and area-level variables have been identified as explaining much of the variance in rates of compulsory in-patient treatment.AimsTo describe rates of voluntary and compulsory psychiatric in-patient treatment in rural and urban settings in England, and to explore the associations with age, ethnicity and deprivation.MethodSecondary analysis of 2010/11 data from the Mental Health Minimum Dataset.ResultsAreas with higher levels of deprivation had increased rates of in-patient treatment. Areas with high proportions of adults aged 20–39 years had the highest rates of compulsory in-patient treatment as well as the lowest rates of voluntary in-patient treatment. Urban settings had higher rates of compulsory in-patient treatment and ethnic density was associated with compulsory treatment in these areas. After adjusting for age, deprivation and urban/rural setting, the association between ethnicity and compulsory treatment was not statistically significant.ConclusionsAge structure of the adult population and ethnic density along with higher levels of deprivation can account for the markedly higher rates of compulsory in-patient treatment in urban areas.

AB - BackgroundIndividual variables and area-level variables have been identified as explaining much of the variance in rates of compulsory in-patient treatment.AimsTo describe rates of voluntary and compulsory psychiatric in-patient treatment in rural and urban settings in England, and to explore the associations with age, ethnicity and deprivation.MethodSecondary analysis of 2010/11 data from the Mental Health Minimum Dataset.ResultsAreas with higher levels of deprivation had increased rates of in-patient treatment. Areas with high proportions of adults aged 20–39 years had the highest rates of compulsory in-patient treatment as well as the lowest rates of voluntary in-patient treatment. Urban settings had higher rates of compulsory in-patient treatment and ethnic density was associated with compulsory treatment in these areas. After adjusting for age, deprivation and urban/rural setting, the association between ethnicity and compulsory treatment was not statistically significant.ConclusionsAge structure of the adult population and ethnic density along with higher levels of deprivation can account for the markedly higher rates of compulsory in-patient treatment in urban areas.

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