Skip to main content
Full access
Articles
Published Online: August 2013

Comparing Neighborhoods of Adults With Serious Mental Illness and of the General Population: Research Implications

Abstract

Objective

The International Classification of Functioning, Disability and Health emphasizes the importance of assessing the impact of environmental factors on functioning and disability. Drawing on this emphasis, this study used a set of objective measures to compare the characteristics of neighborhoods of adults with serious mental illness and of the general population. It also examined the relationship between neighborhood characteristics and neighborhood concentration of persons with serious mental illness.

Methods

The sample comprised 15,246 adults who were treated for serious mental illness in Philadelphia between 1997 and 2000. Principal-components analysis of 22 neighborhood characteristics resulted in an ideal-factor solution of six components. The mean values of each component in neighborhoods of persons with serious mental illness were compared with values in an equally sized group of neighborhoods created by randomly generated addresses representative of the city’s general population. Ordinary least-squares regression was used to assess the association between neighborhood characteristics and neighborhood concentration of persons with serious mental illness.

Results

Neighborhoods in which adults with serious mental illness resided had higher levels of physical and structural inadequacy, drug-related activity, and crime than comparison neighborhoods. Higher levels of physical and structural inadequacy, crime, drug-related activity, social instability, and social isolation were associated with higher concentration of persons with serious mental illness in the neighborhood’s adult population.

Conclusions

The differences in neighborhood characteristics identified in this study point to factors that merit closer attention as potential barriers or facilitators in the functioning, participation, and community integration of persons with serious mental illness.

Formats available

You can view the full content in the following formats:

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: Summer Afternoon, by William Dean Fausett, 1943. Oil and tempera on masonite, 30 × 38 inches. Collection of the San Antonio Art League and Museum, San Antonio, Texas.

Psychiatric Services
Pages: 782 - 788
PubMed: 23677444

History

Published in print: August 2013
Published online: 15 October 2014

Authors

Details

Thomas Byrne, Ph.D.
Dr. Byrne is affiliated with the School of Social Policy and Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA 19104 (e-mail: [email protected]). Dr. Prvu Bettger is with the School of Nursing, Duke University, Durham, North Carolina. Mr. Brusilovskiy and Dr. Salzer are with the Department of Rehabilitation Sciences, Temple University, Philadelphia. Dr. Wong is with the School of Social Policy and Practice, University of Pennsylvania, Philadelphia. Dr. Metraux is with the Department of Health Policy and Public Health, University of the Sciences, Philadelphia.
Janet Prvu Bettger, Sc.D.
Dr. Byrne is affiliated with the School of Social Policy and Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA 19104 (e-mail: [email protected]). Dr. Prvu Bettger is with the School of Nursing, Duke University, Durham, North Carolina. Mr. Brusilovskiy and Dr. Salzer are with the Department of Rehabilitation Sciences, Temple University, Philadelphia. Dr. Wong is with the School of Social Policy and Practice, University of Pennsylvania, Philadelphia. Dr. Metraux is with the Department of Health Policy and Public Health, University of the Sciences, Philadelphia.
Eugene Brusilovskiy, M.U.S.A.
Dr. Byrne is affiliated with the School of Social Policy and Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA 19104 (e-mail: [email protected]). Dr. Prvu Bettger is with the School of Nursing, Duke University, Durham, North Carolina. Mr. Brusilovskiy and Dr. Salzer are with the Department of Rehabilitation Sciences, Temple University, Philadelphia. Dr. Wong is with the School of Social Policy and Practice, University of Pennsylvania, Philadelphia. Dr. Metraux is with the Department of Health Policy and Public Health, University of the Sciences, Philadelphia.
Yin-Ling Irene Wong, Ph.D.
Dr. Byrne is affiliated with the School of Social Policy and Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA 19104 (e-mail: [email protected]). Dr. Prvu Bettger is with the School of Nursing, Duke University, Durham, North Carolina. Mr. Brusilovskiy and Dr. Salzer are with the Department of Rehabilitation Sciences, Temple University, Philadelphia. Dr. Wong is with the School of Social Policy and Practice, University of Pennsylvania, Philadelphia. Dr. Metraux is with the Department of Health Policy and Public Health, University of the Sciences, Philadelphia.
Stephen Metraux, Ph.D.
Dr. Byrne is affiliated with the School of Social Policy and Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA 19104 (e-mail: [email protected]). Dr. Prvu Bettger is with the School of Nursing, Duke University, Durham, North Carolina. Mr. Brusilovskiy and Dr. Salzer are with the Department of Rehabilitation Sciences, Temple University, Philadelphia. Dr. Wong is with the School of Social Policy and Practice, University of Pennsylvania, Philadelphia. Dr. Metraux is with the Department of Health Policy and Public Health, University of the Sciences, Philadelphia.
Mark S. Salzer, Ph.D.
Dr. Byrne is affiliated with the School of Social Policy and Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA 19104 (e-mail: [email protected]). Dr. Prvu Bettger is with the School of Nursing, Duke University, Durham, North Carolina. Mr. Brusilovskiy and Dr. Salzer are with the Department of Rehabilitation Sciences, Temple University, Philadelphia. Dr. Wong is with the School of Social Policy and Practice, University of Pennsylvania, Philadelphia. Dr. Metraux is with the Department of Health Policy and Public Health, University of the Sciences, Philadelphia.

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard

View Options

View options

PDF/EPUB

View PDF/EPUB

Full Text

View Full Text

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login
Purchase Options

Purchase this article to access the full text.

PPV Articles - Psychiatric Services

PPV Articles - Psychiatric Services

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Media

Figures

Other

Tables

Share

Share

Share article link

Share