In 2011, the Drug Abuse Warning Network estimated that about 2.5 million ED visits resulted from medical emergencies involving drug misuse or abuse. In 6 of 7 years, residents of micropolitan areas were more likely than residents of large fringe metropolitan areas (suburbs) to have an ED visit with a principal diagnosis related to mental health (data not shown).Įmergency Department Visits Related to Substance Abuse OnlyĮmergency department visits with a principal diagnosis of substance abuse only, by region and income, 2007-2013. In 2013, the rate of ED visits with a principal diagnosis related to mental health was lowest for individuals in the West (1,031.1 per 100,000 population) and highest in the Northeast (1,650.3 per 100,000 population). In all years, individuals in the highest income quartile were less likely than individuals in all other income groups to have an ED visit with a principal diagnosis related to mental health. From 2007 to 2013, the overall rate of ED visits with a principal diagnosis related to mental health increased from 1,063.5 to 1,268.7 per 100,000 population. They are also more likely to have frequent ED visits. Importance: Adults with mental health disorders are less likely to care for their chronic medical conditions and have worse outcomes of co-occurring chronic diseases compared with patients without mental health disorders. ED VISITS BJH ANNAUL 000 CODE
Key: Q = quartile of median household income of the patient's ZIP code of residence
In all years, individuals ages 0-17 and 65 and over were significantly less likely than individuals ages 18-44 to have an ED visit with a principal diagnosis related to mental health, alcohol, or substance abuse.Įmergency Department Visits Related to Mental Health OnlyĮmergency department visits with a principal diagnosis related to mental health only, by region and income, 2007-2013. In all years, individuals in the highest income quartile were less likely than individuals in all other income groups to have an ED visit with a principal diagnosis related to mental health, alcohol, or substance abuse. From 2007 to 2013, the rate of ED visits with a principal diagnosis related to mental health, alcohol, or substance abuse increased among all age and income groups. From 2007 to 2013, the overall rate of ED visits with a principal diagnosis related to mental health, alcohol, or substance abuse increased from 1,527.8 to 1,883.0 per 100,000 population. Further, pediatric emergency physicians may struggle to provide effective care and consider the ED ill suited to ensure continuity of care when treating alcohol-related issues among adolescents. Importance: Frequent ED users with mental health and addiction challenges are in dire need of effective treatment and case management. Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, and HCUPnet query, 2007-2013. Key: Q = quartile of median household income of the patient's ZIP code of residence. ED visits with a principal diagnosis of dental conditions.Įmergency Department Visits Related to Mental Health, Alcohol, or Substance AbuseĮmergency department visits with a principal diagnosis related to mental health, alcohol, or substance abuse, by age and income, 2007-2013. 
ED visits with a principal diagnosis related to mental health, alcohol, or substance abuse.Measures of preventable ED visits include:
An estimated 13% to 27% of ED visits in the United States could be managed in physician offices, clinics, and urgent care centers, saving $4.4 billion annually ( Weinick, et al., 2010).ED visits for conditions that are preventable or treatable with appropriate primary care lower health system efficiency and raise costs ( Enard & Ganelin, 2013).Because some visits are preventable, they may indicate poor care management, inadequate access to care, or poor choices on the part of patients ( Dowd, et al., 2014).Emergency department (ED) visits are costly.
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