Predictors of Mental Health Service Utilization in the 12 Months before Imprisonment: Analysis of Results from a National Prisons Survey

2006 ◽  
Vol 40 (6-7) ◽  
pp. 548-553 ◽  
Author(s):  
Michael Farrell ◽  
Annabel Boys ◽  
Nicola Singleton ◽  
Howard Meltzer ◽  
Traolach Brugha ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Opioid Dependence ◽  
Service Use ◽  
Face To Face ◽  
History Of ◽  
Analysis Of Results ◽  
Drug Dependent

Objective: To describe the self-reported history of health service utilization and helpseeking to those who are drug-dependent in the period of time prior to imprisonment. Method: A cross-section survey of 3142 sentenced or remand prisoners in English prisons completed private, face-to-face interviews with trained Office for National Statistics staff covering a full structured psychiatric assessment interview. Specific questions about service utilization prior to imprisonment were included, as were questions on patterns of drug use and dependence prior to imprisonment. Results: Receipt of any form of help was demographically most strongly associated with being older, white and female. Women were about twice as likely as men to report having received help for mental or emotional problems. Older age was also consistently associated with greater levels of reporting having received help, for both genders but only for use of general practitioners. Being black was strongly associated with reduced likelihood of receiving help and this was maintained after adjusting for other sociodemographic variables. Opioid dependence alone or opioid dependence with stimulant dependence, psychiatric disorder alone and probable psychosis were all most predictive of service use in the 12 months prior to imprisonment. Conclusions: In the year prior to imprisonment, the majority of mental health needs of these individual prisoners were not able to access help prior to imprisonment. Future strategies should aim for better health access beofre, during and after imprisonment.

Health Status, Health Problems and Practices among Refugees from the Middle East, Eastern Europe and Southeast Asia

1987 ◽  
Vol 21 (3) ◽  
pp. 760-782 ◽  
Author(s):  
Rosalie F. Young ◽  
Allen Bukoff ◽  
John B. Waller ◽  
Stephen B. Blount
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Service Use ◽  
Dental Health ◽  
Health Problems ◽  
Health Service Use ◽  
Care Utilization ◽  
Barriers To Health

Recent refugees from Poland, Romania, Iraq, and Vietnam were extensively interviewed to assess their health, health care utilization and health service use barriers. Two hundred seventy-seven recent arrivals from these countries and sixty-three previously arrived Laotians comprised the sample. Results from a 195 item bilingual questionnaire indicated good overall health and little evidence of serious physical health symptoms. Dental health was the area of greatest reported need. Prenatal care and mental health services were additional areas of need noted by researchers. Barriers to health service utilization were primarily language related. There were major differences in both health problems and health service utilization among the four groups surveyed.

scholarly journals Patterns of Child Mental Health Service Utilization Within a Multiple EBP System of Care

2021 ◽  
Author(s):  
Joyce H. L. Lui ◽  
Lauren Brookman-Frazee ◽  
Alejandro L. Vázquez ◽  
Julia R. Cox ◽  
Debbie Innes-Gomberg ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Utilization ◽  
Asian American ◽  
Health Service Utilization ◽  
Service Use ◽  
Mental Health Service Utilization ◽  
Administrative Claims ◽  
Evidence Based

AbstractThe current study (1) characterizes patterns of mental health service utilization over 8 years among youth who received psychotherapy in the context of a community implementation of multiple evidence-based practices (EBPs), and (2) examined youth-, provider- and service-level predictors of service use patterns. Latent profile analyses were performed on 5,663,930 administrative claims data furnished by the county department of mental health. Multinomial logistic regression with Vermunt’s method was used to examine predictors of care patterns. Based on frequency, course, cost, and type of services, three distinct patterns of care were identified: (1) Standard EBP Care (86.3%), (2) Less EBP Care (8.5%), and (3) Repeated/Chronic Care (5.2%). Youth age, ethnicity, primary language, primary diagnosis and secondary diagnosis, provider language and provider type, and caregiver involvement and service setting were significant predictors of utilization patterns. Although the majority of youth received care aligned with common child EBP protocols, a significant portion of youth (13.7%) received no evidence-based care or repeated, costly episodes of care. Findings highlight opportunities to improve and optimize services, particularly for youth who are adolescents or transition-aged, Asian-American/Pacific Islander, Spanish-speaking, or presenting with comorbidities.

scholarly journals Cross-Sectoral Data Linkage: Tracking Mental Health Service Utilization from Childhood into Adulthood

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Kyleigh Schraeder ◽  
John Cairney ◽  
Jeffrey Carter ◽  
Evelyn Vingilis ◽  
Richard Neufeld ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Population Health ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Service Use ◽  
Children And Youth ◽  
Mental Health Service Utilization ◽  
Childhood And Adolescence

IntroductionOf the 15-18% of children and youth in Canada with a mental health disorder, some receive specialized mental health (MH) services and need additional treatment as young adults. Lack of a shared database across child and adult sectors has prevented examining predictors of future MH health service use. Objectives and ApproachWe examined predictors of mental health service utilization in adulthood, and compared a sample of youth who received specialized MH treatment and age-, sex-, and region- matched controls. Patient-level administrative data from five MH agencies funded by the Ministry of Children and Youth Services (MCYS) in Ontario, with population health sector datasets held at the Institute for Clinical Evaluative Sciences (ICES). We expanded previous definitions of coding a MH visit by including codes specific to long-lasting childhood MH diagnoses (e.g., Attention Deficit-Hyperactivity Disorder). ResultsOur match rate for linking the MCYS treated youth with their population health data was 77%. Youth who received MH treatment (N= 2957) were twice as likely as matched controls (N= 8891) to have a MH visit in the medical system in adulthood (i.e., after age 18). The most common diagnostic codes for the first visit were anxiety, depressive disorders, and ADHD. The median survival time (when 50% had a visit) from age 18 to first MH visit was 3.3 years. In adjusted Cox regressions, significant predictors of having an adult MH visit included service use history in both medical and MH systems during childhood and adolescence (e.g., ongoing pattern of children’s MH service use). Conclusion/ImplicationsThis study represents the first longitudinal, case-control cohort study in Canada to examine MH service utilization in the medical sector by youth treated for MH problems. The linkage of information from multiple datasets allowed for a broader understanding of MH service utilization across sectors of care, specific to children and youth.

scholarly journals Help Seeking and Mental Health Service Utilization Among College Students With a History of Suicide Ideation

2011 ◽  
Vol 62 (12) ◽  
pp. 1510-1513 ◽  
Author(s):  
Amelia M. Arria ◽  
Emily R. Winick ◽  
Laura M. Garnier-Dykstra ◽  
Kathryn B. Vincent ◽  
Kimberly M. Caldeira ◽  
...  
Keyword(s):  
Mental Health ◽  
College Students ◽  
Mental Health Service ◽  
Health Service ◽  
Service Utilization ◽  
Help Seeking ◽  
Health Service Utilization ◽  
Suicide Ideation ◽  
Mental Health Service Utilization ◽  
History Of

Influences of Family Relational Factors and Immigration Generation Status on Mental Health Service Utilization Among Asian Americans

2020 ◽  
pp. 104438942094946
Author(s):  
Xiaochuan Wang
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Asian Americans ◽  
Health Service Utilization ◽  
Family Cohesion ◽  
Service Use ◽  
Family Relation ◽  
Generation Status ◽  
Relational Factors

Drawing on data from the National Latino and Asian American Study, this article examines the influence of family relational factors, independently and jointly with immigration generation status, on past-year mental health service utilization among Asian Americans ( N = 1,599). Findings revealed the important role of family relation in influencing the likelihood and type of Asian Americans’ mental health service use. Lower level of family cohesion and higher level of family conflict were associated with increased likelihood of service use. Results from multiple logistic regressions further indicated that generation status interacts with family relation in affecting service use. Specifically, effect of family cohesion on general health service use was modified by generation status among third- or later-generation Asian Americans. Practice implications and future research directions are discussed to better understand and address the mental health needs of this population.

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