Many children with mental health problems may visit emergency departments repeatedly despite having an outpatient health care provider, researchers reported.
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While mental health diagnosis can be associated with an increased use of emergency department (ED) visits, prior patient visit patterns were also associated with higher future ED use.
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Teaching hospitals are figuring out how to better care for mental health patients — and keep them comfortable while they wait for long-term services.
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There are many causes of Erectile Dysfunction in men, however many of these ED issues can be psychological. In this article we discuss the psychology of these issues and ways you can overcome erectile dysfunction for good.
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Psychogenic erectile dysfunction refers to difficulty achieving or keep an erection that is linked to psychological factors.
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Stress, anxiety, depression, and other mental health conditions can contribute to ED, and ED can fuel certain mental health conditions.
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ED was associated with poorer MH. Satisfaction with sex life, but not importance attached to sex life, may play a mediating role in this association. These results suggest that if men with ED can be helped to be satisfied with their sex lives despite ED, MH can be preserved.
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Article Abstract Objective: The Affordable Care Act (ACA) of 2010 was fully implemented in 2014, expanding access to outpatient mental health services and potentially reducing reliance on emergency (ED) services. This study examined trends and correlates of ED visits for mental health conditions from 2007 to 2016, with attention to changes in ED use after 2014. Methods: Nationally representative samples of ED visits in the United States were assessed using a repeated cross-sectional analysis of National Hospital Ambulatory Medical Care Survey data. This study used diagnoses associated with each ED visit to identify changes in proportions in mental health diagnostic categories (psychiatric diagnoses only, substance use-related diagnoses only, or both, based on ICD-9-CM or ICD-10-CM criteria). These trends were further examined by age, sex, race/ethnicity, and insurance status. The statistical significance of temporal patterns was evaluated with multivariate logistic regression analyses. Results: Between 2007 and 2016, about 8.4 million (8.3%) of 100.9 million ED visits nationwide were for psychiatric or substance use-related diagnoses. Over the 10-year study period, the proportion of ED visits for mental health diagnoses increased from 6.6% to 10.9% (P < .001). Visits for alcohol and "other" substance use and psychiatric diagnoses classified as "other" accounted for an increasing portion of mental health-related ED visits during this time (P < .001). ED visits in which Medicaid was the primary source of insurance coverage showed the largest increase, nearly doubling from 27.2% in 2007-2008 to 42.8% in 2015-2016 (adjusted odds ratio for linear trends = 1.71; 95% CI, 1.36-2.15). Conclusions: ED utilization for mental health conditions—and especially substance use conditions—significantly increased in the last decade. The increasing use of EDs by patients with mental health conditions may indicate suboptimal delivery of effective or acceptable outpatient mental health care, particularly for substance use-related conditions.
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This cross-sectional study investigates changes in adult mental health–related emergency department visits during the COVID-19 pandemic in the US.
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