title: Disparities in treatment of people with mental disorder in non-psychiatric hospitals: a review of the literature.
abstract: People with mental disorder experience a heavy burden of physical ill-health. This, alongside structural health-system changes, means more people with mental disorder are being cared for in non-psychiatric hospitals. This article reports on 32 studies that have investigated the care and outcomes of people with comorbid mental and physical health problems in non-psychiatric hospitals. Prevalence of mental disorder ranged between 4%-46%, and rates of psychiatric referral was 2%-10%. The receipt of invasive cardiac procedures was markedly reduced for those with mental disorder. Likelihood of experiencing an adverse event, post-operative complication or increased length of stay was also elevated for those with mental disorder.
authors.affiliation: University of Technology, Sydney. Electronic address: brad.d.mather@student.uts.edu.au.
authors.forename: Brad
authors.initials: B
authors.lastname: Mather
authors.affiliation: Faculty of Health, University of Technology, Sydney.
authors.forename: Michael
authors.initials: M
authors.lastname: Roche
authors.affiliation: Faculty of Health, University of Technology, Sydney.
authors.forename: Christine
authors.initials: C
authors.lastname: Duffield
mesh_terms: D016206:Databases, Bibliographic; D054625:Healthcare Disparities; D006761:Hospitals; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*; D012307:Risk Factors; D016896:Treatment Outcome