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

doi:10.1097/00005650-198801000-00002

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 journal › Article › peer-review

193 Scopus citations

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 language	English (US)
Pages (from-to)	9-26
Number of pages	18
Journal	Medical care
Volume	26
Issue number	1
DOIs	https://doi.org/10.1097/00005650-198801000-00002
State	Published - Jan 1988
Externally published	Yes

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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10.1097/00005650-198801000-00002

Cite this

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AU - Leaf, Philip J.

AU - Livingston Bruce, Mafitha

AU - Tischler, Gary L.

AU - Freeman, Daniel H.

AU - Weissman, Myrna M.

AU - Myers, Jerome K.

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AB - 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.

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

Abstract

Keywords

ASJC Scopus subject areas

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