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.

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.

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.

Predictors of help-seeking in unemployed people with mental health problems

2019 ◽  
Vol 65 (7-8) ◽  
pp. 543-547 ◽  
Author(s):  
Moritz E Wigand ◽  
Nathalie Oexle ◽  
Tamara Waldmann ◽  
Tobias Staiger ◽  
Thomas Becker ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Help Seeking ◽  
Service Use ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Unemployed People

Background: Unemployment and mental ill health often contribute to each other and lead to social exclusion with negative consequences for individuals and society. Yet, unemployed people with mental health problems often do not seek care. Aims: The aim of this study was to assess predictors of help-seeking among unemployed people with mental health problems. Methods: At baseline, 301 unemployed participants with mental health problems reported potential predictors of help-seeking in terms of mental health literacy, perceived barriers to care, self-concept as having a mental illness and current mental health service use. At 6-month follow-up, 240 participants reported whether or not they had started new mental health treatment since baseline. Results: Adjusted for symptoms, sociodemographic and work-related variables, help-seeking was predicted by previous mental health service use and by fewer non-stigma-related barriers, not by stigma-related barriers. Conclusion: Implications for interventions to increase help-seeking among this vulnerable group are discussed.

scholarly journals Socioeconomic Disparities in Cancer Treatment, Service Utilization and Catastrophic Health Expenditure in China: A Cross-Sectional Analysis

2020 ◽  
Vol 17 (4) ◽  
pp. 1327 ◽  
Author(s):  
Yang Zhao ◽  
Lin Zhang ◽  
Yu Fu ◽  
Minyu Wang ◽  
Luwen Zhang
Keyword(s):  
Health Service ◽  
Cancer Treatment ◽  
Cancer Patients ◽  
Service Utilization ◽  
Health Expenditure ◽  
Health Service Utilization ◽  
Service Use ◽  
Catastrophic Health Expenditure ◽  
Socioeconomic Disparities ◽  
Health Service Use

Background: This study aims (1) to assess socioeconomic disparities in healthcare use and catastrophic health expenditure (CHE) among cancer patients in China, which is defined as the point at which annual household health payments exceeded 40% of non-food household consumption expenditure, and (2) to examine the association of different treatments for cancers with health service utilization and CHE. Methods: We used nationally representative data from the China Health and Retirement Longitudinal Study in 2015 with 17,018 participants in which 381 with doctor-diagnosed cancer. The main treatments for cancer included the Chinese traditional medicine (TCM), western modern medicine (refers to taking western modern medications excluding TCM and other treatments for cancers), surgery, and radiation/chemotherapy. Concentration curve was used to assess economic-related disparities in healthcare and CHE. Multivariate regression models were used to examine the impact of the cancer treatment on health service use and incidence of CHE. Results: The main cancer treatments and health service use were more concentrated among the rich patients than among the poor patients in 2015. There was a positive association between the treatment of cancer and outpatient visit (Adjusted Odds Ratio (AOR) = 2.492, 95% CI = 1.506, 4.125), inpatient visit (AOR = 1.817, 95% CI = 1.098, 3.007), as well as CHE (AOR = 2.744, 95% CI = 1.578, 4.772). All cancer therapies except for medication treatments were associated with a higher incidence of CHE, particularly the surgery therapy (AOR = 6.05, 95% CI = 3.393, 27.866) in urban areas. Conclusion: Disparities in treatment and health service utilization among Chinese cancer patients was largely determined by financial capability. The current insurance schemes are insufficient to address these disparities. A comprehensive health insurance policy of expanding the current benefits packages and strengthening the Public Medical Assistance System, are essential for Chinese adults with cancer.

Self-reported chronic mental health problems and mental health service use in Spain

2009 ◽  
Vol 5 (3) ◽  
pp. 197-208 ◽  
Author(s):  
Manuel Girón ◽  
Andreu Nolasco ◽  
Pamela Pereyra-Zamora ◽  
Mikel Munarriz ◽  
José Salazar ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Service Use ◽  
Health Service Use
Sign in / Sign up

Export Citation Format

Share Document