Cited by 172Mental Health Treatment and AccessPsychiatric care and mental health servicesHealthcare Policy and Management

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I. Comparing Use of Public and Private Mental Health Services: The Enduring Barriers of Race and Age

Swartz, Marvin S., Wagner, H. Ryan, Swanson, Jeffrey W., Burns, Barbara J., George, Linda K., Padgett, Deborah K.·1998·Community Mental Health Journal

DOI 10.1023/a:1018736917761

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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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“18 Similarly, our ﬁ ndings highlight the potential advantages of private mental health services in providing timely and effective care that may facilitate better management of depressive symptoms.”

Authors: Swartz, M. S., Wagner, H. R., Swanson, J. W., Burns, B. J., George, L. K., & Padgett, D. K.
Affiliations: Duke Medical Center (US)
ORCID: Swartz, Marvin S.
Wagner, H. Ryan
Swanson, Jeffrey W.
George, Linda K.
Padgett, Deborah K.
Venue: Community Mental Health Journal
Publisher: Springer Science and Business Media LLC
Published: 1998-04
Volume: 34
Issue: 2
Pages: 133-144
ISSN: 0010-3853 (ISSN-L)
1573-2789
DOI: 10.1023/a:1018736917761
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: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
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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I. Comparing Use of Public and Private Mental Health Services: The Enduring Barriers of Race and Age

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