Service Utilization for Mental Health Problems among Adults

2006 ◽  
Keyword(s):  
Mental Health ◽  
Service Utilization ◽  
Mental Health Problems ◽  
Health Problems

Gaps in Service Utilization by Mexican Americans With Mental Health Problems

1999 ◽  
Vol 156 (6) ◽  
pp. 928-934 ◽  
Author(s):  
William A. Vega ◽  
Bohdan Kolody ◽  
Sergio Aguilar-Gaxiola ◽  
Ralph Catalano
Keyword(s):  
Mental Health ◽  
Service Utilization ◽  
Mexican Americans ◽  
Mental Health Problems ◽  
Health Problems

scholarly journals Multi-Morbid Health Profiles and Specialty Healthcare Service Use: A Moderating Role of Poverty

2019 ◽  
Vol 16 (11) ◽  
pp. 1956 ◽  
Author(s):  
Ilan Kwon ◽  
Oejin Shin ◽  
Sojung Park ◽  
Goeun Kwon
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Service Utilization ◽  
Healthcare Service ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Conditions ◽  
Physical And Mental Health ◽  
Healthcare Needs ◽  
Health Profiles

Increasing life expectancy in the USA makes a better understanding of the heterogeneous healthcare needs of the aging population imperative. Many aging studies have discovered multimorbid health problems focusing mainly on various physical health conditions, but not on combined mental or behavioral health problems. There is also a paucity of studies with older adults who use professional healthcare services caring for their mental and substance-related conditions. This study aims to enhance the knowledge of older peoples’ complex healthcare needs involving physical, mental, and behavioral conditions; examine the relationship between multi-morbid health profiles and specialty healthcare service utilization; and investigate its association to poverty. The study data were derived from the National Survey on Drug Use and Health (NSDUH) in 2013 (n = 6296 respondents aged 50 years and older). To identify overall health conditions, nine indicators, including physical, mental, and substance/alcohol, were included. Healthcare service utilization was measured with four mutually exclusive categories: No treatment, mental health treatment only, substance use treatment only, and both. We identified four health profiles: Healthy (82%), having physical health problems (6%), physical and mental health problems (4%), and behavioral problems (8%). Older people’s health profiles were differentially associated with healthcare use. Those living in poverty with both physical and mental health problems or substance/alcohol health problems were less likely to receive mental health and substance use treatments than those with more financial resources. Implications for geriatric healthcare practices and policy are discussed.

scholarly journals Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems

2017 ◽  
Vol 30 (7) ◽  
pp. 1027-1037 ◽  
Author(s):  
Jana Volkert ◽  
Sylke Andreas ◽  
Martin Härter ◽  
Maria Christina Dehoust ◽  
Susanne Sehner ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Utilization ◽  
Service Use ◽  
Mental Health Problems ◽  
Behavioral Model ◽  
The Elderly ◽  
Health Problems ◽  
Use Of Services ◽  
Lower Education ◽  
Comorbid Mental Disorders

ABSTRACTBackground:Empirical data on the use of services due to mental health problems in older adults in Europe is lacking. The objective of this study is to identify factors associated with service utilization in the elderly.Methods:As part of the MentDis_ICF65+ study, N = 3,142 people aged 65–84 living in the community in six European and associated countries were interviewed. Based on Andersen's behavioral model predisposing, enabling, and need factors were analyzed with logistic regression analyses.Results:Overall, 7% of elderly and 11% of those with a mental disorder had used a service due to mental health problems in the last 12 months. Factors significantly associated with underuse were male sex, lower education, living in the London catchment area, higher functional impairment and more comorbid mental disorders. The most frequently reported barrier to service use was personal beliefs, e.g. “I can deal with my problem on my own” (90%).Conclusion:Underutilization of mental health services among older people in the European community is common and interventions are needed to achieve an adequate use of services.

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