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February 1974

Social Factors in the Utilization of an Urban Psychiatric Emergency Service

Author Affiliations

From the Johns Hopkins University, School of Medicine, Baltimore. Dr. Huffine is now with the Institute of Human Development, University of California, Berkeley.

Arch Gen Psychiatry. 1974;30(2):249-255. doi:10.1001/archpsyc.1974.01760080093016

Admissions to the psychiatric emergency service of an inner-city university hospital are analyzed from two perspectives. (1) Characteristics of patients and the areas in which they reside are described with focus directed toward social characteristics found to be associated with high admission rates. (2) The ways in which a hospital, by virtue of its organizational structure, might contribute to misuse of its emergency facilities by patients are explored.

Based on both modes of analysis, suggestions are offered for ways in which services may be altered to more effectively meet the treatment needs of inner-city populations.