Alisa K' Lincoln MPH, PhD

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Alisa K. Lincoln MPH, PhD

• Associate Professor of Health Scienecs and
  Sociology
• Al.lincoln_at_neu.edu

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Public Urban Mental Health

• Why study psychiatric emergency services?
• The PER is often the last open door to services
• Cuts in federal, state and city funds
• Limited reimbursement
• Reduced access to other services
• Wide range of medical and social needs
• Unique nature of decisions made in PERs
• PER utilization has risen 600 over the last
  decade and rapidly rising rates in the past 12
  months

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Types of Urban Psychiatric Emergency Services Work

• Studies of users
• Predictors of service utilization patterns
• Outcomes of service use
• BCAMHP
• Studies of providers
• Clinical decision making
• Organizational culture/social context of the work
• Linguistics/slang

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Future Work

• Innovative models of care
• Diversion (police)
• Alternative service models (peer)
• More integrated approaches (users and providers)
• Cross-system work
• Social networks, neighborhood level affects