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

Lookup NU author(s): Dr Patrick Keown, Emeritus Professor Jan Scott

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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. 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.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. (C) The Royal College of Psychiatrists 2016.


Publication metadata

Author(s): Keown P, McBride O, Twigg L, Crepaz-Keay D, Cyhlarova E, Parsons H, Scott J, Bhui K, Weich S

Publication type: Article

Publication status: Published

Journal: British Journal of Psychiatry

Year: 2016

Volume: 209

Issue: 2

Pages: 157-161

Print publication date: 01/08/2016

Online publication date: 09/06/2016

Acceptance date: 29/12/2015

Date deposited: 06/11/2017

ISSN (print): 0007-1250

ISSN (electronic): 1472-1465

Publisher: The Royal College of Psychiatrists

URL: http://dx.doi.org/10.1192/bjp.bp.115.171009

DOI: 10.1192/bjp.bp.115.171009

PubMed id: 27284079


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