PMID- 20430234
OWN - NLM
STAT- MEDLINE
DCOM- 20100804
LR  - 20221207
IS  - 1873-7714 (Electronic)
IS  - 0163-8343 (Print)
IS  - 0163-8343 (Linking)
VI  - 32
IP  - 3
DP  - 2010 May-Jun
TI  - Social and clinical factors associated with psychiatric emergency service use and 
      civil commitment among African-American youth.
PG  - 300-9
LID - 10.1016/j.genhosppsych.2010.01.007 [doi]
AB  - PURPOSE: We examined the social and clinical factors associated with arrival 
      status (e.g., involuntary versus voluntary) and civil commitment decisions in 
      psychiatric emergency services (PES) to assess African-American youths' 
      help-seeking patterns and entree into care. METHODS: Patient records were 
      reviewed for 1621 African-American youth from an inner-city PES between October 
      2001 and September 2002. Multivariate logistic regression was used to examine the 
      social and clinical factors associated with arrival status (e.g., involuntary vs. 
      voluntary admission) and case disposition among youth who were involuntarily and 
      voluntarily admitted (e.g., disposition upheld vs. dismissed). RESULTS: 
      Low-income youth with behavior disorders were less likely to arrive voluntarily 
      to PES. Medical insurance, suicidality, DSM diagnosis, substance involvement, 
      Global Assessment of Function (GAF) scores and time of day the youth arrived to 
      PES were predictors of voluntary arrival. Older age and GAF scores significantly 
      predicted the decision to uphold an involuntary commitment. Age (younger age less 
      likely), higher GAF scores, insurance status, substance abuse involvement and 
      arrival time (evening shift) significantly predicted the decision to uphold a 
      voluntary decision. IMPLICATIONS: Our findings suggest that psychiatric and 
      nonpsychiatric factors influence both how African-American youth arrive to PES 
      and the decisions made regarding their voluntary/involuntary commitment.
CI  - Copyright 2010 Elsevier Inc. All rights reserved.
FAU - Lindsey, Michael A
AU  - Lindsey MA
AD  - School of Social Work, University of Maryland, Baltimore, MD 21201, USA. 
      mlindsey@ssw.umaryland.edu
FAU - Joe, Sean
AU  - Joe S
FAU - Muroff, Jordana
AU  - Muroff J
FAU - Ford, Briggett E
AU  - Ford BE
LA  - eng
GR  - K12 RR023250/RR/NCRR NIH HHS/United States
GR  - R01 MH082807-02/MH/NIMH NIH HHS/United States
GR  - K12RR023250/RR/NCRR NIH HHS/United States
GR  - K12 RR023250-05/RR/NCRR NIH HHS/United States
GR  - L30 MH078720-02A1/MH/NIMH NIH HHS/United States
GR  - R01 MH082807/MH/NIMH NIH HHS/United States
GR  - K01 MH065499/MH/NIMH NIH HHS/United States
GR  - L30 MH078720/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20100204
PL  - United States
TA  - Gen Hosp Psychiatry
JT  - General hospital psychiatry
JID - 7905527
SB  - IM
MH  - Adolescent
MH  - Black or African American/*psychology
MH  - Child
MH  - *Commitment of Mentally Ill
MH  - Emergency Services, Psychiatric/*statistics & numerical data
MH  - Female
MH  - Hospitals, General
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Medical Audit
MH  - Patient Acceptance of Health Care/ethnology/*psychology
MH  - Philadelphia
MH  - *Social Class
MH  - Young Adult
PMC - PMC2862230
MID - NIHMS169283
EDAT- 2010/05/01 06:00
MHDA- 2010/08/05 06:00
PMCR- 2011/05/01
CRDT- 2010/05/01 06:00
PHST- 2009/08/13 00:00 [received]
PHST- 2009/12/30 00:00 [revised]
PHST- 2010/01/05 00:00 [accepted]
PHST- 2010/05/01 06:00 [entrez]
PHST- 2010/05/01 06:00 [pubmed]
PHST- 2010/08/05 06:00 [medline]
PHST- 2011/05/01 00:00 [pmc-release]
AID - S0163-8343(10)00008-3 [pii]
AID - 10.1016/j.genhosppsych.2010.01.007 [doi]
PST - ppublish
SO  - Gen Hosp Psychiatry. 2010 May-Jun;32(3):300-9. doi: 
      10.1016/j.genhosppsych.2010.01.007. Epub 2010 Feb 4.