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

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18 Citations (Scopus)
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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.
Original languageEnglish
Pages (from-to)157-161
Number of pages5
JournalBritish Journal of Psychiatry
Volume209
Issue number2
Early online date31 Aug 2016
DOIs
Publication statusPublished - 2 Jan 2018

Keywords

  • compulsory admission
  • ethnicity deprivation

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