Factors affecting the utilization of specialty and general medical mental health services

Philip J. Leaf, Mafitha Livingston Bruce, Gary L. Tischler, Daniel H. Freeman, Myrna M. Weissman, Jerome K. Myers

Research output: Contribution to journalArticle

Abstract

This study compares the extent to which need, predisposing, and enabling factors affect the use of mental health services in the specialty and general medical health sectors during a 6-month period. Data are drawn from the first wave of interviews of the Epidemiological Catchment Area (ECA) project at the Yale University site. The results indicate that 1) in the general population, factors affecting use of the two sectors differ; 2) among those using any mental health services, factors affecting use of the two sectors differ; 3) indicators of need have the strongest relationships with utilization; and 4) the effects of predisposing and enabling factors are contingent upon the presence of need.

Original languageEnglish (US)
Pages (from-to)9-26
Number of pages18
JournalMedical care
Volume26
Issue number1
DOIs
StatePublished - Jan 1988
Externally publishedYes

Keywords

  • Health services utilization
  • Mental health services
  • Psychiatric disorder
  • Psychiatric epidemiology

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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  • Cite this

    Leaf, P. J., Livingston Bruce, M., Tischler, G. L., Freeman, D. H., Weissman, M. M., & Myers, J. K. (1988). Factors affecting the utilization of specialty and general medical mental health services. Medical care, 26(1), 9-26. https://doi.org/10.1097/00005650-198801000-00002