American Indian identity in mental health services utilization data from a rural Midwestern sample.

2014 ◽  
Vol 20 (1) ◽  
pp. 68-74 ◽  
Author(s):  
Samantha M. Hack ◽  
Christopher R. Larrison ◽  
Joseph P. Gone
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
American Indian ◽  
Health Services Utilization ◽  
Services Utilization ◽  
Mental Health Services Utilization ◽  
Indian Identity ◽  
Utilization Data

Mental health literacy as a mediator in use of mental health services among older korean adults

2016 ◽  
Vol 29 (2) ◽  
pp. 269-279 ◽  
Author(s):  
Young Sun Kim ◽  
T. Greg Rhee ◽  
Hee Yun Lee ◽  
Byung Hyun Park ◽  
Monica L. Sharratt
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Literacy ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Literacy ◽  
Health Services Utilization ◽  
Path Model ◽  
Services Utilization ◽  
Mental Health Services Utilization

ABSTRACTBackground:Existing literature suggests that mental health literacy is positively associated with mental health services utilization. Despite an aging population that faces significant mental health concerns in Korea, the role of mental health literacy on mental health services utilization is not known among older adults in Korea. This study aimed to (1) identify whether mental health literacy mediates the association between population characteristics and mental health services utilization and (2) identify an optimal path model for mental health services utilization among Korean older adults.Methods:Using a cross-sectional survey with a quota sampling strategy, we collected and analyzed responses from 596 community-dwelling individuals ages 65 years and older. We used structural equation modeling (SEM) to estimate the effect of mental health literacy as a mediator.Results:When controlling for other relevant covariates in the optimal path model, mental health literacy mediated the relationships between three socio-demographic factors (education, general literacy, and health status) and mental health services utilization. The model fit index shows that the SEM fits very well (CFI = 0.92, NFI = 0.90, RMSEA = 0.07).Conclusions:Efforts to improve mental health literacy through community-based education programs may need to particularly target Korean older adults with the relevant socio-demographic characteristics to enhance their utilization of appropriate mental health services.

Medical and Mental Health Services Utilization among Requalified and Former Drug Addiction and Alcoholism Recipients of SSI

2003 ◽  
Vol 30 (1-2) ◽  
pp. 365-390 ◽  
Author(s):  
Deborah Podus ◽  
Nancy Barron ◽  
Eunice Chang ◽  
Katherine Watkins ◽  
Joseph Guydish ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Drug Addiction ◽  
Health Care Disparities ◽  
Health Services Utilization ◽  
Panel Study ◽  
Services Utilization ◽  
Mental Health Services Utilization ◽  
The Impact

This article examines the impact of the elimination of the Supplemental Security Income (SSI) drug addiction and alcoholism (DA&A) disability category–-and the consequent loss of Medicaid benefits by most of those terminated from SSI–-on the medical and mental health services utilization of affected individuals. Data are from a two-year, five-wave panel study of a random sample of 1,764 former DA&A recipients in nine sites. Respondents were grouped into three categories: those who requalified for SSI on other grounds: those who lost SSI but obtained alternative health coverage: and those who lost SSI and were uninsured. We found, after controlling for covariates, that the uninsured were significantly less likely than those who requalified for SSI to receive any medical or mental health care. Disparities in care were less pronounced between those who requalified for SSI and those who lost SSI but obtained other coverage. Lack of insurance was associated with greater difficulty in accessing care in four sites, but it was not associated with higher emergency room use.

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