Description: Das Projekt "Die Inanspruchnahme des psychiatrischen Notfalldienstes in Mannheim unter oekologischen und distanzbezogenen Aspekten" wird vom Umweltbundesamt gefördert und von Universität Heidelberg, Fakultät für Klinische Medizin Mannheim, Zentralinstitut für Seelische Gesundheit durchgeführt. This study aims at investigating the topographic distribution of utilization rates of the psychiatric emergency service at the Central Institute of Mental Health (Mannheim/Germany) from 1982-1993. In order to explain topographic differences in the utilization rates ecological variables, the distance between patients' residence and service location and diagnoses were taken into account. The study shows that ecological, distance-related and diagnostic factors influence the utilization of the psychiatric emergency service in Mannheim. First contact and contact rates decrease from the city centre toward the outskirts. There was a strong general effect of ecological variables: the utilization rates were higher for districts with worse ecological conditions and specific for some diagnostic groups. The greatest difference in utilization rates between the city centre and the outskirts was found for schizophrenia and psychoactive substances use disorders whereas there was no difference with regard to organic and symptomatic mental disorders. With increasing spatial and time-related distance between residence and service location, the utilization rate decreases. No relation was found between diagnoses and distance. The study also shows an interaction between the time-related distance and the ecological variables. The influence of the ecological factors on service utilization is amplified with decreasing distance.
Types:
SupportProgram
Origin: /Bund/UBA/UFORDAT
Tags: Heidelberg ? Mannheim ? Gesundheitsgefährdung ? Stadtökologie ? Umweltauswirkung ? Innenstadt ? Stadtteil ? Studie ? Stadt ? Stoff ? Psychische Erkrankung ? Gesundheit ? Ökologischer Faktor ? Raumnutzung ? Siedlungsrand ? Jarvis'-Law ? Mentaler Effekt ?
Region: Baden-Württemberg
Bounding box: 9° .. 9° x 48.5° .. 48.5°
License: cc-by-nc-nd/4.0
Language: Deutsch
Time ranges: 1995-01-01 - 1997-12-31
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