TY - JOUR
T1 - Filters on the Pathway to Mental Health Care, I. Incident Mental Disorders
AU - Marino, S.
AU - Gallo, J. J.
AU - Ford, D.
AU - Anthony, J. C.
N1 - Funding Information:
This work was supported by National Institute of Drug Abuse grant DA03992, National Institute of Mental Health grant MH41908, and National Institute of Mental Health training grant MH14592. Data gathering was supported by the Epidemiologic Catchment Area (ECA) Program of the National Institute of Mental Health Division of Biometry and Epidemiology. The principal investigators and grant award numbers during data gathering were Jerome K. Myers at Yale University (MH34224), Morton Kramer at the Johns Hopkins University (MH33870), Lee N. Robins at Washington University (MH33883), Dan Blazer and Linda George at Duke University (MH35386), Richard Hough and Marvin Karno at the University of California, Los Angeles (MH35865). At the National Institute of Mental Health, principal collaborators during data gathering were Darrel A. Regier, Ben Z. Locke, William W. Eaton, Carl A. Taube, and Jack D. Burke, Jr.
PY - 1995/11
Y1 - 1995/11
N2 - This study investigates health and mental health services use by adults with and without newly incident mental disorders and uses prospectively gathered data from the Epidemiologic Catchment Area Program, a multi-site interview survey of adult household residents in the United States. Study subjects were 13400 participants who completed interviews in the initial survey and also in a follow-up 1 year later, and who reported no contact with mental health services in either the specialized mental health sector or in the general medical sector in the 6 months prior to the initial survey. Case ascertainment was by means of a standardized interview method, the Diagnostic Interview Schedule. Separately, and before the mental health assessments were made, respondents were asked about their use of health and mental health services. ‘Hierarchical’ and ‘filter’ models of mental health services provide frameworks useful in understanding the possible effects of specific categories of psychiatric disturbances on use of health services. Only a minority of individuals with newly incident psychiatric disorder report discussion of mental health issues in a health care setting. Persons who developed a mental disorder during the follow-up interval were just as likely to consult a non-psychiatrist physician for their mental health problems as to consult a specialist in mental health, even accounting for other factors known to be associated with differential use of health care services. This large community study of incident psychiatric disorders strengthens prior evidence on the importance of the general medical sector in the care of individuals with psychiatric disturbances.
AB - This study investigates health and mental health services use by adults with and without newly incident mental disorders and uses prospectively gathered data from the Epidemiologic Catchment Area Program, a multi-site interview survey of adult household residents in the United States. Study subjects were 13400 participants who completed interviews in the initial survey and also in a follow-up 1 year later, and who reported no contact with mental health services in either the specialized mental health sector or in the general medical sector in the 6 months prior to the initial survey. Case ascertainment was by means of a standardized interview method, the Diagnostic Interview Schedule. Separately, and before the mental health assessments were made, respondents were asked about their use of health and mental health services. ‘Hierarchical’ and ‘filter’ models of mental health services provide frameworks useful in understanding the possible effects of specific categories of psychiatric disturbances on use of health services. Only a minority of individuals with newly incident psychiatric disorder report discussion of mental health issues in a health care setting. Persons who developed a mental disorder during the follow-up interval were just as likely to consult a non-psychiatrist physician for their mental health problems as to consult a specialist in mental health, even accounting for other factors known to be associated with differential use of health care services. This large community study of incident psychiatric disorders strengthens prior evidence on the importance of the general medical sector in the care of individuals with psychiatric disturbances.
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U2 - 10.1017/S0033291700033110
DO - 10.1017/S0033291700033110
M3 - Article
C2 - 8637944
AN - SCOPUS:0028894902
VL - 25
SP - 1135
EP - 1148
JO - Psychological Medicine
JF - Psychological Medicine
SN - 0033-2917
IS - 6
ER -