Mental Health Emergency Department Use among Treatment-Seeking Adults in a Rural Northern Appalachian Clinic: The Role of Homelessness and Alcohol Use.
Emergency departments are vital safety-net resources for adults seeking mental health treatment. Frequent mental health emergency department use has been associated with homelessness and alcohol use. However, little of this research has been conducted in rural settings, particularly in Northern Appa...
| Publicado en: | Health & Social Work Vol. 51; no. 3; pp. 223 - 230 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Oxford University Press / USA
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195546046&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195546046 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03607283 HSW jtl: Health & Social Work issn: 03607283 maglogo: N pubinfo: dt: Aug2026 vid: 51 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195546046 10.1093/hsw/hlag025 ppf: 223 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P size: 839KB tig: atl: Mental Health Emergency Department Use among Treatment-Seeking Adults in a Rural Northern Appalachian Clinic: The Role of Homelessness and Alcohol Use. aug: au: Clarkson-Hendrix, Michael L Heinen, Cassidy Kearns, Kevin affil: Michael L. Clarkson-Hendrix, PhD, MSW, is associate professor of social work, Department of Social Work & Criminal Justice, and lead evaluator, Fredonia Program Evaluation Center, State University of New York at Fredonia, W381 Thompson Hall, 280 Central Avenue, Fredonia, NY 14063, USA Cassidy Heinen, MSW, is project aide, Fredonia Program Evaluation Center, Fredonia, NY, USA Kevin Kearns, PhD, is professor, Department of Communication Disorders and Sciences, and director, Fredonia Program Evaluation Center, Fredonia, NY, USA su: Appalachian Region Cross-sectional method Mental health services Rural conditions Homelessness Alcoholism Medical care use Pearson correlation (Statistics) Research funding Multiple regression analysis Hospital emergency services Descriptive statistics One-way analysis of variance Data analysis software sug: subj: Cross-sectional method Mental health services Rural conditions Homelessness Alcoholism Appalachian Region Offices of Mental Health Practitioners (except Physicians) Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities Medical care use Pearson correlation (Statistics) Research funding Multiple regression analysis Hospital emergency services Descriptive statistics One-way analysis of variance Data analysis software keyword: adult alcohol drinking alcohol use Appalachia appalachian region copyrightHolder:National Association of Social Workers copyrightYear:2026 emergency department emergency service homelessness hospital https://dx.doi.org/10.1093/hsw/hlag025 inLanguage:en mental health mental health services outpatients psychiatric emergencies publisher:Oxford University Press rural sameAs:https://pubmed.ncbi.nlm.nih.gov/42262733/ adult alcohol drinking alcohol use Appalachia appalachian region copyrightHolder:National Association of Social Workers copyrightYear:2026 emergency department emergency service homelessness hospital https://dx.doi.org/10.1093/hsw/hlag025 inLanguage:en mental health mental health services outpatients psychiatric emergencies publisher:Oxford University Press rural sameAs:https://pubmed.ncbi.nlm.nih.gov/42262733/ ab: Emergency departments are vital safety-net resources for adults seeking mental health treatment. Frequent mental health emergency department use has been associated with homelessness and alcohol use. However, little of this research has been conducted in rural settings, particularly in Northern Appalachia. Therefore, this program-level study aimed to describe the relationship between recent mental health emergency department use, homelessness, and alcohol use in intake survey data from one outpatient mental health clinic. Participants were 1,293 adults seeking treatment between June 2020 and August 2022. On average, participants reported using an emergency room for a psychiatric or emotional problem less than one time in the past 30 days. Nights spent homeless were statistically significantly positively associated with recent mental health emergency department use. Additionally, those who used alcohol daily or almost daily demonstrated a statistically significant greater frequency of mental health emergency department use compared with adults who did not use alcohol within the past 30 days. Future social work research should replicate this study with a larger, multisite, random sample of mental health treatment–seeking adults in rural Northern Appalachian settings. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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