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 Serv Res
; 58(2): 325-331, 2023 04.
Article
in En
| MEDLINE
| ID: mdl-36310433
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/STUDYSETTING:
National Mental Health Services Surveys conducted in 2016 and 2020. STUDYDESIGN:
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/EXTRACTIONMETHODS:
The proportion and per 100,000 population rate of facilities offering crisis services were calculated. PRINCIPALFINDINGS:
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cyclonic Storms
/
Mental Health Services
Aspects:
Equity_inequality
Limits:
Humans
Country/Region as subject:
Caribe
/
Puerto rico
Language:
En
Journal:
Health Serv Res
Year:
2023
Document type:
Article
Affiliation country:
United States