ArticleHealth services research2023
Growing inequities in mental health crisis services offered to indigent patients in Puerto Rico versus the US states before and after Hurricanes Maria and Irma.
Article in Health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 8 citations in OpenAlex.
- Secret Shopper Analysis Highlights that Accessing Psychiatric Healthcare in Puerto Rico is a Challenging Endeavor.Community mental health journal · 2026Article
- Monitoring Public Health During the 2023 Maui Wildfire Using Google Search Trends.Hawai'i journal of health & social welfare · 2026Article
- Converging crises and maternal and child health: colonialism, extreme weather, and COVID-19.Reproductive health · 2025Article
- Smoking, Sociodemographic Characteristics, and Health History among Adults with Mental Illness in Puerto Rico.Puerto Rico health sciences journal · 2025Article
- A regional analysis of healthcare utilization trends during consecutive disasters in puerto rico using private claims data.Scientific reports · 2025Article
- Characterizing Crisis Services Offered by Certified Community Behavioral Health Clinics: Results From a National Survey.Psychiatric services (Washington, D.C.) · 2025Article
- Compound Crises: The Impact of Emergencies and Disasters on Mental Health Services in Puerto Rico.International journal of environmental research and public health · 2024Review
- Trends in hospital capacity and utilization in Puerto Rico by health regions, 2010-2020.Scientific reports · 2024Article
- Implementation of the 988 Suicide & Crisis Lifeline: Estimating State-Level Increases in Call Demand Costs and Financing.The journal of mental health policy and economics · 2023Article
- Growing inequities in mental health crisis services offered to indigent patients in Puerto Rico versus the US states before and after Hurricanes Maria and Irma.Health services research · 2023Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveTo assess changes in the availability of mental health crisis services in Puerto Rico relative to US states before and after Hurricanes Maria and Irma. DATA SOURCES/STUDY
settingNational Mental Health Services Surveys conducted in 2016 and 2020. STUDY
designRepeated cross-sectional design. The independent variable was mental health facility location in Puerto Rico or a US state. Dependent variables were the availability of three mental health crisis services (psychiatric emergency walk-in services, suicide prevention services, and crisis intervention team services). DATA COLLECTION/EXTRACTION
methodsThe proportion and per 100,000 population rate of facilities offering crisis services were calculated. PRINCIPAL
findingsThe availability of crisis services at mental health facilities in Puerto Rico remained stable between 2016 and 2020. These services were offered less at indigent care facilities in Puerto Rico than US states (e.g., 38.2% vs. 49.5% for suicide prevention, p = 0.06) and the magnitude of difference increased following Hurricane Maria.
conclusionsThere are disparities between Puerto Rico and US states in the availability of mental health crisis services for indigent patients.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.