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I. Comparing Use of Public and Private Mental Health Services: The Enduring Barriers of Race and Age
Abstract
Data from the NIMH-Epidemiologic Catchment Area Project were used to predict differential use of private versus public outpatient mental health services, a salient concern in integrating public and private services in market-based health care reform efforts. Having a recent psychiatric disorder, being age 25-44, female, white, of higher educational level, and unmarried increase the odds of any mental health service use. However, odds of treatment in the public sector are increased for males, African Americans, those with low educational and income levels, and odds are markedly decreased for the elderly, suggesting significant barriers to care for these mentally ill subpopulations.
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Most older adults who need mental health treatment do not receive it.
“Older adults are an underserved population; the majority of older adults in need of mental health treatment do not receive care (Swartz et al., 1998; Wang et al., 2005).”
From Acceptance and Commitment Therapy With Older Adults: Rationale and Considerations (2013) · cites this paper as Swartz et al., 1998
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Metadata
- Authors
- Swartz, M. S., Wagner, H. R., Swanson, J. W., Burns, B. J., George, L. K., & Padgett, D. K.
- Affiliations
- Duke Medical Center (US)
- Venue
- Community Mental Health Journal
- Published
- 1998-04
- Volume
- 34
- Issue
- 2
- Pages
- 133-144
- ISSN
- 0010-3853 (ISSN-L)
- 1573-2789
- OpenAlex
- W2913842544
- Cited by
- 172
- References
- 34
- Citations by year
- 2025: 1 · 2024: 1 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 40 · 2016: 1 · 2015: 6 · 2014: 6 · 2013: 4 · 2012: 6
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Community Mental Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh043756-03, 5p50mh051410-05)
- National Institute of Mental Health (MH51410, MH43756)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- mental health service utilization, racial disparities, age disparities, barriers to mental health care, mental illness, integrated care, older adults, African Americans, socioeconomic status, marital status, gender differences
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Mental Disorders, Female, Humans, Male, Mental Health Services, Middle Aged, Private Sector, Public Sector, Health Care Surveys, Racial Groups
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