Seeking and receiving mental health care

Current Opinion in Psychiatry

Volumn 9, Issue 2, 1996, Pages 158-161

  Horwitz, Allan V ^a  

^a RUTGERS UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; CULTURAL FACTOR; EDUCATION; ETHNOLOGY; HEALTH CARE ACCESS; HEALTH CARE NEED; HEALTH CARE ORGANIZATION; MENTAL HEALTH CARE; OUTPATIENT CARE; SEX DIFFERENCE; SHORT SURVEY; SOCIAL ASPECT;

EID: 0029989136     PISSN: 09517367     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001504-199603000-00014     Document Type: Short Survey

References (21)

1. Horwitz A: Help-seeking processes and mental health services. In Improving mental health service: what the social sciences can tell us. Edited by Mechanic D. San Francisco: Jossey-Bass; 1987:33-45.
2. Rogier L, Cortes D: Help-seeking pathways: a unifying concept in mental health care. Am J Psychiatry 1993, 150:554-561.
3. Regier D, Narrow W, Rae D, Manderscheid R, Locke B, Goodwin F: The de facto US mental and addictive disorders service system: Epidemiologic Catchment Area prospective 1-year prevalence rates of disorders and services. Arch Gen Psychiatry 1993, 50:85-94.
4. Narrow W, Regier D, Rae D, Manderscheid R, Locke B: Use of services by persons with mental and addictive disorders: findings from the National Institute of Mental Health Epidemiologic Catchment Area Program. Arch Gen Psychiatry 1993, 50:95-107.
5. Manderscheid R, Rae D, Narrow W, Locke B, Regier D: Congruence of service utilization estimates from the Epidemiologic Catchment Area project and other sources. Arch Gen Psychiatry 1993, 50:108-114.
6. Olfson M, Pincus H: Outpatient psychotherapy in the United States, I: volume, costs and user characteristics. Am J Psychiatry 1994, 151:1281-1288. The authors present the results of a survey of over 38 000 households on the use of outpatient psychotherapy from the 1987 National Medical Expenditure Survey. The authors show that Americans made an estimated 71.5 million outpatient visits at a cost of $4.2 billion in this year, accounting for about 8% of all out-patient medical costs. Women, white individuals, middle-aged people, the separated and divorced, and college graduates had a greater likelihood of using psychotherapy, although income was not related to use.
7. Olfson M, Pincus H: Outpatient psychotherapy in the United States II: patterns of utilization. Am J Psychiatry 1994, 151:1289-1294. The authors indicate that long-term users of psychotherapy are only approximately 16% of users but account for about 63% of total psychotherapy expenditures. Long-term users of psychotherapy are disproportionately women, white, separated and divorced, college graduates, and high income individuals. In contrast, elderly people, black people, and individuals who have not attended college are particularly unlikely to receive long-term psychotherapy.
8. Rosenheck R, Fontana A: Utilization of mental health services by minority veterans of the Vietnam era. J Nerv Ment Dis 1994, 182:685-691. The use of veteran and nonveteran mental health services by 1700 male veterans in four ethnic groups was examined. Contrary to expectations, no ethnic differences existed in the use of veterans services, whereas black people and Mexican veterans were less likely to use nonveteran services, after controlling for other factors.
9. Sturm R, Jackson C, Meredith L, Yip W, Manning W, Rogers W, Wells K: Mental health care utilization in prepaid and fee-for-service plans among depressed patients in the Medical Outcomes Study. Health Serv Res 1995, 30:319-340. A panel study of nearly 800 patients screened for depression in three urban areas in the USA. Patients in prepaid plans had considerably fewer mental hearth visits than patients in fee-for-service plans, and patients who switched out of either type of plan had fewer visits than patients who remained in their plan.
10. Ying Y, Hu L: Public outpatient mental health services: use and outcome among Asian-Americans. Am J Orthopsychiatry 1994, 64:448-455.
11. Rickwood D, Braithwaite V: Social-psychological factors affecting help-seeking for emotional factors. Soc Sci Med 1994, 39:563-572.
12. Feinson M, Popper M: Does affordability affect mental health utilization? A United States-Israel comparison of older adults. Soc Sci Med 1995, 40: 669-678. The authors compared patterns of mental health use in the USA and Israel to find whether the lack of financial barriers to treatment in Israel elevates mental health treatment among elderly people. Contrary to expectations, elderly individuals in both countries showed low rates of mental health treatment and rates in Israel were even lower than those in the USA.
13. Smith R: The course of somatization and its effects on utilization of health care resources. Psychosomatics 1994, 35:263-267.
14. Callahan C, Hui S, Nienaber N, Musick B, Tierney W: Longitudinal study of depression and health services use among elderly primary care patients. J Am Geriatr Soc 1994, 42:833-838.
15. Ries R, Mullen M, Cox G: Symptom severity and utilization of treatment resources among dually diagnosed inpatients. Hosp Community Psychiatry 1994, 45:562-567.
16. Landerman L, Burns B, Swartz M, Wagner H, George L: The relationship between insurance coverage and psychiatric disorder in predicting use of mental health services. Am J Psychiatry 1994, 151:1785-1790. Data from the Piedmont, North Carolina, USA, site of the ECA were used to investigate how insurance coverage for mental health services affected service use among people with and without a measured diagnosis. The authors showed that the impact of insurance coverage on use of services is strongest among people with a measured diagnosis, indicating that restricting coverage for mental health services may have a stronger impact in reducing treatment among people who most need it.
17. Simon G, Von Korff M, Durham M: Predictors of outpatient mental health utilization by primary care patients in a health maintenance organization. Am J Psychiatry 1994, 151:908-913.
18. Balestrieri M, Bon M, Rodriguez-Sacristan A, Tansella M: Pathways to psychiatric care in South-Verona, Italy. Psychol Med 1994, 24:641-649.
19. Kilic C, Rezaki M, Ustun T, Gater R: Pathways to psychiatric care in Ankara. Soc Psychiatry Psychiatr Epidemiol 1994, 29:131-136.
20. Abiodun O: Pathways to mental health care in Nigeria. Psychiatr Serv 1995, 46:823-826.
21. Fosu G: Women's orientation toward help-seeking for mental disorders. Soc Sci Med 1995, 40:1029-1040.