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Social determinants of health recorded in only 0.2% of mental health contact cases

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According to a new analysis published in, the environmental and social conditions of individuals using mental health services in northwestern urban areas, including those diagnosed with “post-traumatic stress disorder,” are cases. Recorded at only 0.2% of. Mental Health Journal..

Professor Peter Kinderman and his team at the University of Liverpool reported 21,701 individual cases that were first contacted with local community expert NHS mental health providers between January 1, 2015 and January 1, 2016. I investigated.

They are,Social determinants‘ of Mental health issues Only a total of 39 (0.2%) were recorded, despite established mental health risk factors such as poverty, homelessness, adverse childhood experiences, and living alone.

Incredibly, the main diagnosis of the postPost-traumatic stress disorder (PTSD) was given to 66 people, and only two of the group recorded vague “specific problems related to psychosocial situations”, but for any of the other 64 people the social determinants of health were It was not recorded.

Professor Peter Kinderman said, “This is an important finding. Diagnosis of PTSD typically requires the identification of traumatic events. Individuals suffer after major life events and as a result suffer. And, for clarity, there are no specific traumatic events. Recorded for any of the people diagnosed with PTSD. “

Again, 25 people were diagnosed with “adjustment disorder.” This also requires the diagnostic presence of trigger events, but no social determinants of health are recorded and no traumatic events are listed.

Similarly, 151 people were diagnosed with “emotional instability personality disorder,” but only one case of suspected sexual abuse was recorded as a social determinant.

Previous studies have shown that traumatic events in childhood account for 31% of the total. Mental health issues, Even “living alone” has been shown to account for 11%.

“It is important to omit the record of social determinants of mental health problems,” said Professor Peter Kinderman.

“Research shows that including this information makes behavioral patterns less likely to be considered pathological, but not including it makes it more likely to be a biomedical explanation.

“Comparison with known incidences of social determinants of mental health problems (unemployment, homelessness, social isolation, childhood trauma) suggests that clinicians are very underreporting these problems. doing.

‚ÄúData on social and contextual factors are essential to a public health approach to mental health. health It’s not a personalized issue, it’s a community issue. ”


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For more information:
Peter Kinderman et al, Minimal Use of ICD Social Determinants or Phenomenon Code in Mental Health Care Records, Mental Health Journal (2021). DOI: 10.1080 / 09638237.2021.1952944

Quote: The social determinants recorded in only 0.2% of mental health contact cases (August 2, 2021) are https: //medicalxpress.com/news/2021-08-social-mental-health-contact-cases Obtained from .html on August 2, 2021.

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Social determinants of health recorded in only 0.2% of mental health contact cases

Source link Social determinants of health recorded in only 0.2% of mental health contact cases

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