title: An Evaluation of Racial and Ethnic Health Differences in State Mental Health Inpatient Services: 2002-2005 Versus 2010-2011.
abstract: This study analyzed racial-ethnic differences previously documented in the Connecticut Department of Mental Health and Addiction Services mental health inpatient system across two time periods (2002-2005 and 2010-2011). Comparisons of logistic regression analyses from the two time periods showed that, at time 1, significant racial-ethnic differences were found for referral by other sources (e.g., outpatient), length of stay, discharge against medical advice, and some diagnostic differences (e.g., schizophrenia, other psychotic disorders, cluster B discharge diagnosis), but these differences were not significant at time 2. Other diagnostic differences remained significant at time 2 (e.g., mood disorders, substance use disorders, other axis I disorders, mental retardation) as well as racial-ethnic differences in self-referral. These results suggest that the multiple national and state cultural competence initiatives between time 1 and time 2 could have resulted in decreases in racial-ethnic differences. Targeted interventions to alleviate the remaining differences are needed.
authors.affiliation: Yale Program for Recovery and Community Health, 319 Peck Street Building 1, New Haven, CT, 06513, USA. elizabeth.flanagan@yale.edu.
authors.forename: Elizabeth H
authors.initials: EH
authors.lastname: Flanagan
authors.affiliation: Boston Health Care for the Homeless Program, 780 Albany, New Boston, MA, 02118, USA.
authors.forename: Astrea
authors.initials: A
authors.lastname: Greig
authors.affiliation: Connecticut Department of Mental Health and Addiction Services, 410 Capitol Avenue, Hartford, CT, 06106, USA.
authors.forename: Sue
authors.initials: S
authors.lastname: Tharnish
authors.affiliation: Connecticut Department of Mental Health and Addiction Services, Office of Multicultural Healthcare Equality, 410 Capitol Ave, Hartford, CT, 06106, USA.
authors.forename: Ellen
authors.initials: E
authors.lastname: Boynton
authors.affiliation: Yale Program for Recovery and Community Health, 319 Peck Street Building 1, New Haven, CT, 06513, USA.
authors.forename: Maria-Cristina
authors.initials: MC
authors.lastname: Cruza-Guet
authors.affiliation: Yale Program for Recovery and Community Health, 319 Peck Street Building 1, New Haven, CT, 06513, USA.
authors.forename: Larry
authors.initials: L
authors.lastname: Davidson
authors.affiliation: Connecticut Department of Mental Health and Addiction Services, 410 Capitol Avenue, Hartford, CT, 06106, USA.
authors.forename: Miriam E
authors.initials: ME
authors.lastname: Delphin-Rittmon
mesh_terms: D000328:Adult; D054521:Cultural Competency; D065246:Culturally Competent Care; D005006:Ethnicity; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D001523:Mental Disorders / Q000208:ethnology* / Q000628:therapy*; D008603:Mental Health; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D044469:Racial Groups; D055815:Young Adult