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Universal Credit receipt among working-age patients who are accessing specialist mental health services: results from a novel data linkage study.
Stevelink, Sharon A M; Bakolis, Ioannis; Dorrington, Sarah; Downs, Johnny; Leal, Ray; Madan, Ira; Phillips, Ava; Geiger, Ben; Hotopf, Matthew; Fear, Nicola T.
Affiliation
  • Stevelink SAM; Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK sharon.stevelink@kcl.ac.uk.
  • Bakolis I; King's Centre for Military Health Research, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
  • Dorrington S; South London and Maudsley NHS Foundation Trust, NIHR Maudsley Biomedical Research Centre, London, UK.
  • Downs J; Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
  • Leal R; Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
  • Madan I; Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
  • Phillips A; South London and Maudsley NHS Foundation Trust, NIHR Maudsley Biomedical Research Centre, London, UK.
  • Geiger B; Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
  • Hotopf M; South London and Maudsley NHS Foundation Trust, NIHR Maudsley Biomedical Research Centre, London, UK.
  • Fear NT; Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
J Epidemiol Community Health ; 78(9): 592-598, 2024 08 09.
Article de En | MEDLINE | ID: mdl-38902034
ABSTRACT

BACKGROUND:

In 2013, Universal Credit (UC) was introduced by the UK Government. Understanding of how UC provision is allocated among people with mental disorders, and its intersection with protected characteristics is limited. This study aimed to explore (1) how UC receipt, including UC conditionality regime, varied among users of specialist mental health services between 2013 and 2019 and (2) associations between sociodemographic and diagnostic patient characteristics and UC receipt.

METHODS:

Working-age individuals who had accessed specialist mental health services were included if they had their mental health record data successfully linked with administrative benefits data. Associations between sociodemographic, diagnostic patient characteristics and UC receipt were explored using logistic regression models.

RESULTS:

Of the 143 715 patients, 26.9% had received UC between 2013 and 2019. Four in five patients were allocated to the searching for work conditionality regime during their time on UC. Females were less likely to have received UC (adjusted OR (AOR) 0.87, 95% CI 0.85 to 0.89) than males, and UC receipt decreased with age. Black patients (AOR 1.39, 95% CI 1.34 to 1.44) and patients from mixed and multiple ethnic backgrounds (AOR 1.27, 95% CI 1.18 to 1.38) had a higher likelihood of UC receipt than White patients. UC receipt was lower among patients diagnosed with severe mental illness compared with other psychiatric diagnoses (AOR 0.74, 95% CI 0.71 to 0.77).

CONCLUSION:

One in four specialist mental health service users had received UC and a large majority were subject to conditionality. The temporality of UC conditionality and mental health service presentation needs further exploration.
Sujet(s)
Mots clés

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Accessibilité des services de santé / Troubles mentaux / Services de santé mentale Limites: Adolescent / Adult / Female / Humans / Male / Middle aged Pays/Région comme sujet: Europa Langue: En Journal: J Epidemiol Community Health Année: 2024 Type de document: Article Pays de publication: Royaume-Uni

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Accessibilité des services de santé / Troubles mentaux / Services de santé mentale Limites: Adolescent / Adult / Female / Humans / Male / Middle aged Pays/Région comme sujet: Europa Langue: En Journal: J Epidemiol Community Health Année: 2024 Type de document: Article Pays de publication: Royaume-Uni