新斯科舍省快速接入与稳定项目登记后一年内患者社会人口统计学和临床特征与急性心理健康服务利用之间的关联
Association Between Patient Sociodemographic and Clinical Characteristics and Acute Mental Health Service Utilization Within One Year Following Enrollment in the Rapid Access and Stabilization Program in Nova Scotia.
作者信息
Adu Medard K, Nkrumah Samuel Obeng, Agyapong Belinda, Obuobi-Donkor Gloria, Eboreime Ejemai, Wozney Lori, Agyapong Vincent Israel Opoku
机构信息
Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.
Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 0H6, Canada.
出版信息
J Clin Med. 2025 Jul 24;14(15):5241. doi: 10.3390/jcm14155241.
: The Rapid Access and Stabilization Program (RASP), launched in Nova Scotia in April 2023, aims to improve timely psychiatric care, reduce reliance on emergency services, and provide early intervention. This study describes the sociodemographic and clinical characteristics of the RASP participants and examines their association with acute service use. : This cross-sectional descriptive study used self-reported surveys and administrative data from 738 RASP participants. Descriptive statistics summarized key sociodemographic and clinical variables. Associations between these characteristics and acute service use (emergency department visits, inpatient admissions, and mobile crisis calls) were examined using chi-square and Fisher's Exact tests. Bonferroni correction was applied for multiple comparisons. : The sample was predominantly female (65.2%) and aged 20-40 years (38.4%). Despite high rates of severe anxiety (53.9%) and depression (36.0%), acute service use was low: emergency department visits (7.2%), mobile crisis calls (1.0%), and inpatient admissions (0.8%). Preliminary analyses showed that education level and housing status were associated with ED visits and inpatient admissions. However, these associations did not remain statistically significant after Bonferroni correction. : Although mental health symptom severity was high, acute mental health service use remained low after RASP enrollment, indicating the program's potential in reducing reliance on crisis services. No participant characteristics were significantly associated with acute service use after adjustment, underscoring the complexity of predicting utilization and the need for robust multivariable models. Continued investment in rapid access programs may be essential to improving timely mental health care and supporting early intervention strategies.
快速接入与稳定项目(RASP)于2023年4月在新斯科舍省启动,旨在改善及时的精神科护理,减少对急诊服务的依赖,并提供早期干预。本研究描述了RASP参与者的社会人口统计学和临床特征,并考察了它们与急性服务使用情况的关联。
这项横断面描述性研究使用了来自738名RASP参与者的自我报告调查和行政数据。描述性统计总结了关键的社会人口统计学和临床变量。使用卡方检验和费舍尔精确检验考察了这些特征与急性服务使用情况(急诊就诊、住院入院和移动危机热线)之间的关联。采用邦费罗尼校正进行多重比较。
样本以女性为主(65.2%),年龄在20至40岁之间(38.4%)。尽管严重焦虑(53.9%)和抑郁(36.0%)的发生率很高,但急性服务的使用率较低:急诊就诊率为7.2%,移动危机热线使用率为1.0%,住院入院率为0.8%。初步分析表明,教育水平和住房状况与急诊就诊和住院入院有关。然而,经过邦费罗尼校正后,这些关联在统计学上不再显著。
尽管心理健康症状严重程度较高,但在加入RASP后,急性心理健康服务的使用率仍然较低,这表明该项目在减少对危机服务的依赖方面具有潜力。调整后,没有参与者特征与急性服务使用情况显著相关,这凸显了预测利用率的复杂性以及对强大的多变量模型的需求。持续投资于快速接入项目对于改善及时的精神卫生保健和支持早期干预策略可能至关重要。
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