Addressing Patients' Mental Health Needs at a Student-Run Free Clinic.

Autor:	Knoll, Olivia, Chakravarthy, Rohini, Cockroft, Joshua D., Baddour, Nicolas, Jordan, Shannon, Weaver, Eleanor, Fowler, Michael J., Miller, Robert F.
Předmět:	PSYCHIATRIC diagnosis HEALTH services accessibility LANGUAGE & languages MEDICAL needs assessment MEDICAL quality control MEDICAL care costs MEDICAL education MEDICAL referrals MEDICAL students MENTAL health PATIENT psychology PRIMARY health care SOCIAL stigma COMORBIDITY AT-risk people ODDS ratio
Zdroj:	Community Mental Health Journal; 2021, Vol. 57 Issue 1, p196-202, 7p, 5 Charts
Abstrakt:	Student-run free clinics are uniquely positioned to understand the barriers to accessing mental health resources. We abstracted patient demographics and clinical characteristics from 355 patient charts and examined referral patterns for a subset of patients. Seventy-three (21%) of patients were found to have a psychiatric diagnosis and were more likely to have more medical comorbidities (10 versus 6, p < 0.001), total medications (8 versus 6, p < 0.001, and to be English-speaking (odds ratio: 1.97, p < 0.05). Of patients who received a referral, 37 (60%) were referred to specialty treatment, the majority to a single outside agency provider. 15 (25%) of patients were interviewed. Barriers to successful referral included transportation and medical symptoms. A facilitator of successful referral was concern for individual's health. Language, social stigma, and cost were not cited as barriers. This study describes mental health needs at a SRFC and suggests opportunities for improvement. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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