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{
    "pk": 9052,
    "title": "Emergency Department Visits by Older Adults with Mental Illness in North Carolina",
    "subtitle": null,
    "abstract": "Introduction:\n We analyzed emergency department (ED) visits by patients with mental health disorders (MHDs) in North Carolina from 2008-2010 to determine frequencies and characteristics of ED visits by older adults with MHDs.\nMethods:\n We extracted ED visit data from the North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT). We defined mental health visits as visits with a mental health ICD-9-CM diagnostic code, and organized MHDs into clinically similar groups for analysis.\nResults:\n Those ≥65 with MHDs accounted for 27.3% of all MHD ED visits, and 51.2% were admitted. The most common MHD diagnoses for this age group were psychosis, and stress/anxiety/depression.\nConclusion:\n Older adults with MHDs account for over one-quarter of ED patients with MHDs, and their numbers will continue to increase as the “boomer” population ages. We must anticipate and prepare for the MHD-related needs of the elderly.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Mental Health"
        },
        {
            "word": "Geriatrics"
        },
        {
            "word": "Geriatric Emergency Medicine"
        }
    ],
    "section": "Behavioral Health",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8qk313bz",
    "frozenauthors": [
        {
            "first_name": "Anne",
            "middle_name": "M.",
            "last_name": "Hakenewerth",
            "name_suffix": "",
            "institution": "North Carolina Department of Health and Human Services, Division of Public Health, Raleigh, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Judith",
            "middle_name": "E.",
            "last_name": "Tintinalli",
            "name_suffix": "",
            "institution": "University of North Carolina at Chapel Hill, Department of Emergency Medicine, Chapel Hill, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Anna",
            "middle_name": "E.",
            "last_name": "Waller",
            "name_suffix": "",
            "institution": "University of North Carolina at Chapel Hill, Carolina Center for Health Informatics, Department of Emergency Medicine, Chapel Hill, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Amy",
            "middle_name": "",
            "last_name": "Ising",
            "name_suffix": "",
            "institution": "University of North Carolina at Chapel Hill, Carolina Center for Health Informatics, Department of Emergency Medicine, Chapel Hill, North Carolina",
            "department": "None"
        }
    ],
    "date_submitted": "2015-06-01T20:13:09Z",
    "date_accepted": "2015-06-01T20:13:09Z",
    "date_published": "2015-11-16T23:05:11Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9052/galley/5100/download/"
        }
    ]
}