Client-Provider Relationship and Treatment Outcome: A Systematic Review of Substance Abuse, Child Welfare, and Mental Health Services Research

2012 ◽  
Vol 3 (4) ◽  
pp. 233-267 ◽  
Author(s):  
Jeanne Cay Marsh ◽  
Beth Angell ◽  
Christina M. Andrews ◽  
Ashley Curry
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Substance Abuse ◽  
Treatment Outcome ◽  
Child Welfare ◽  
Mental Health Services ◽  
Health Services Research ◽  
Health Services ◽  
Services Research ◽  
Mental Health Services Research

Newcomers and Old Timers: An Erroneous Assumption in Mental Health Services Research

2019 ◽  
Vol 60 (4) ◽  
pp. 453-473
Author(s):  
Carol S. Aneshensel ◽  
Jenna van Draanen ◽  
Helene Riess ◽  
Alice P. Villatoro
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services Research ◽  
Health Services ◽  
Psychiatric Epidemiology ◽  
Services Research ◽  
Widespread Application ◽  
Mental Health Services Research ◽  
Homogeneity Assumption ◽  
Recent Treatment

Based on the premise that treatment changes people in ways that are consequential for subsequent treatment-seeking, we question the validity of an unrecognized and apparently inadvertent assumption in mental health services research conducted within a psychiatric epidemiology paradigm. This homogeneity assumption statistically constrains the effects of potential determinants of recent treatment to be identical for former patients and previously untreated persons by omitting treatment history or modeling only main effects. We test this assumption with data from the 2001–2003 Collaborative Psychiatric Epidemiology Surveys; the weighted pooled sample is representative of noninstitutionalized U.S. adults (18+; analytic n = 19,227). Contrary to the homogeneity assumption, some associations with recent treatment are conditional on past treatment, including psychiatric disorder and race-ethnicity—measures of need and treatment disparities, respectively. We conclude that the widespread application of the homogeneity assumption probably masks differences in the determinants of recent use between previously untreated persons and former patients.

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