Examining Access to Acute & Community Care Psychiatric Services for Depression Suffers in Ireland

Karyn Morrissey (), Cathal O’Donoghue and Graham Clarke
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Karyn Morrissey: Rural Economy and Development Programme, Teagasc, Athenry, Co. Galway, Ireland
Cathal O’Donoghue: Rural Economy and Development Programme, Teagasc, Athenry, Co. Galway, Ireland
Graham Clarke: School of Geography, University of Leeds
Authors registered in the RePEc Author Service: Cathal O'donoghue

No 908, Working Papers from Rural Economy and Development Programme,Teagasc

Abstract: The World Health Organisation (WHO) predicts that world-wide, depression will be the second largest source of burden of disease by 2020. It is currently estimated that approximately 300,000 Irish people experience depression. To date no research has been carried out on the small area incidence of depression in Ireland. Although research has looked at access levels to acute psychiatric hospitals for each electoral division (ED) in Ireland, there is currently no research on the accessibility of mental health services to individuals with depression. This paper aims to address this gap in the literature. First, a simple logistic regression model is used to identify the determinants of depression at the national level. Secondly, the spatial distribution of individuals with depression is estimated at the small area, ED level using a spatial microsimulation model. Finally, a spatial interaction model is used to analyse access to acute inpatient facilities at the national level and community-based facilities for individuals with depression at the sub-national level. The policy implications of these results are discussed in relation to both the health care literature and current Irish health care policy.

Keywords: Depression; Spatial Microsimulation; Spatial Interaction Models; Alignment (search for similar items in EconPapers)
Pages: 28 pages
Date: 2009
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