Examining mental health locus of origin as a mediator of the relationship between identifying a psychological disorder and recommending treatment

2020 ◽  
Author(s):  
Vinushini Arunagiri ◽  
Christopher DeJesus ◽  
Olivia Peros ◽  
Erin Ward-Ciesielski

Introduction: Research on mental health treatment barriers has yielded little progress toward increasing treatment use. This study examined whether participants’ mental health locus of origin, an attribution that a mental disorder is either biologically or environmentally caused, affected their ability to identify a psychological disorder and recommend appropriate treatment for it. Methods: 163 participants with no history of mental health treatment were presented case vignettes to diagnose and recommend treatment for and completed mental health locus of origin questionnaire. Results: Structural equation modelling was used to find a statistically significant relationship between identifying a psychological disorder and recommending appropriate treatment for it; however, participants’ mental health locus of origin did not mediate the relationship. Conclusions: Participants had more difficulty labeling and recommending appropriate treatment for the vignettes with a mild or severe problem, suggesting that increasing knowledge about psychological disorders and corresponding appropriate treatments may address the treatment gap.

2014 ◽  
Vol 36 (6) ◽  
pp. 581-588 ◽  
Author(s):  
Brian Shiner ◽  
Christine Tang ◽  
Andrew C. Trapp ◽  
Renata Konrad ◽  
Isa Bar-On ◽  
...  

2020 ◽  
pp. 107755872090358
Author(s):  
Adam I. Biener ◽  
Samuel H. Zuvekas

A long line of studies document substantial and persistent racial and ethnic disparities in the use of mental health services. Many recent studies follow the Institute of Medicine’s definition of disparities, adjusting only for differences in health and mental health status across groups. However, controlling for mental health may mask important changes in the magnitudes of disparities at different levels of mental health need. We extend the previous literature by explicitly estimating how differences in treatment use across groups change at different levels of psychological distress. We used detailed data on sociodemographic characteristics, health insurance coverage, treatment, and the K6 psychological distress scale from the 2010 to 2015 Medical Expenditure Panel Survey to estimate nonlinear models of ambulatory and prescription drug mental health treatment. We find that in contrast to physical health treatment, Black–White and Hispanic–White disparities in any mental health treatment use widen with higher levels of psychological distress.


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