nach oben

Community Mental Health Journal

Erschienen in:

01.10.2012 | Original Paper

The Association Between Income Source and Met Need Among Community Mental Health Service Users in Ontario, Canada

verfasst von: Anna Durbin, Susan J. Bondy, Janet Durbin

Erschienen in: Community Mental Health Journal | Ausgabe 5/2012

Einloggen, um Zugang zu erhalten

Abstract

We examined income source and match between recommended and received care among users of community mental health services. We conducted a secondary analysis of needs-based planning data on adults in Ontario community mental health programs from 2000 to 2002. The outcome was whether clients were severely underserved (yes/no) based on the match between level of care recommended and received. A logistic regression model investigated if income source predicted this outcome. 13% of clients were severely underserved. Over 40% were on public assistance and they had a higher risk of being severely undeserved than the others. Men were at greater risk. One aim of mental health reform is to increase access to care for vulnerable individuals. The finding that among users of community mental health services, individuals with public assistance income support are most vulnerable to being severely underserved should be considered by service planners and providers.

Nur mit Berechtigung zugänglich

Advisory Committee on Population Health. (1999). Statistical report on the health of Canadians. Ottawa: Health Canada.

Bebbington, P. E., Meltzer, H., Brugha, T. S., Farrell, M., Jenkins, R., Ceresa, C., et al. (2000). Unequal access and unmet need: Neurotic disorders and the use of primary care services. Psychological Medicine, 30(6), 1359–1367.PubMedCrossRef

Bengtsson-Tops, A., & Hansson, L. (1999). Clinical and social needs of schizophrenic outpatients living in the community: The relationship between needs and subjective quality of life. Social Psychiatry and Psychiatric Epidemiology, 34(10), 513–518.PubMedCrossRef

Bland, R. C., Newman, S. C., & Orn, H. (1990). Health care utilization for emotional problems: Results from a community survey. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 35(5), 397–400.PubMed

Cohen, C. I. (1993). Poverty and the course of schizophrenia: Implications for research and policy. Hospital & Community Psychiatry, 44(10), 951–958.

De Graaf, R., Bijl, R. V., Ravelli, A., Smit, F., & Vollebergh, W. A. (2002). Predictors of first incidence of DSM-III-R psychiatric disorders in the general population: Findings from the Netherlands mental health survey and incidence study. Acta Psychiatrica Scandinavica, 106(4), 303–313.PubMedCrossRef

DeMaris, A. (2004). Regression with social data: Modeling continuous and limited response variables. Hoboken: Wiley.CrossRef

Durbin, J., Cochrane, J., Goering, P., & Macfarlane, D. (2001). Needs-based planning: Evaluation of a level-of-care planning model. The Journal of Behavioral Health Services & Research, 28(1), 67–80.CrossRef

Ellis, R. H., Wilson, N. Z., & Foster, F. M. (1984). Microsoft word - CCHS 2 2. statewide outcome assessment in Colorado: The Colorado client assessment record (CCAR). Community Mental Health Journal, 20, 72.PubMedCrossRef

Flisher, A. J., Kramer, R. A., Grosser, R. C., Alegria, M., Bird, H. R., Bourdon, K. H., et al. (1997). Correlates of unmet need for mental health services by children and adolescents. Psychological Medicine, 27(5), 1145–1154.PubMedCrossRef

Fryers, T., Melzer, D., & Jenkins, R. (2003). Social inequalities and the common mental disorders: A systematic review of the evidence. Social Psychiatry and Psychiatric Epidemiology, 38(5), 229–237.PubMedCrossRef

Groves, R. M., Fowler, F. J., Couper, M. C., Lepkowski, J. M., Singer, E., & Tourangeau, R. (2009). Survey methodology. Hoboken: Wiley.

Hanson, L., Houde, D., McDowell, M., & Dixon, L. (2007). A population-based needs assessment for mental health services. Administration and Policy In Mental Health, 34(3), 233–242.PubMedCrossRef

Hansson, L., Sandlund, M., Bengtsson-Tops, A., Bjarnason, O., Karlsson, H., Mackeprang, T., et al. (2003). The relationship of needs and quality of life in persons with schizophrenia living in the community. A nordic multi-center study. Nordic Journal of Psychiatry, 57(1), 5–11.PubMedCrossRef

Houle, J., Beaulieu, M., Lesperance, F., Frasure-Smith, N., & Lambert, J. (2010). Inequities in medical follow-up for depression: A population-based study in Montreal. Psychiatric Services, 61(3), 258–263.PubMedCrossRef

Johnson, D. (2010). Microsoft word - CCHS 2 2 A compendium of psychosocial measures: Assessment of people with serious mental illnesses in the community. New York: Springer.

Kapusta, N. D., Posch, M., Niederkrotenthaler, T., Fischer-Kern, M., Etzersdorfer, E., & Sonneck, G. (2010). Availability of mental health service providers and suicide rates in Austria: A nationwide study. Psychiatric Services (Washington, D.C.), 61(12), 1198–1203.CrossRef

Koegl, C., Durbin, J., & Goering, P. (2004). Mental health services in Ontario: How well is the province meeting the needs of persons with serious mental illness? Toronto, ON: Centre for Addiction and Mental Health, Health Systems Research and Consulting Unit.

Koegl, C., & Rush, B. (2011). Need and use of services by persons with co-occurring substance use and mental disorders within a community mental health system. Mental Health and Substance Use. doi:10.1080/17523281.2011.616528.

Latimer, E. (2005). Community-based care for people with severe mental illness in Canada. International Journal of Law and Psychiatry, 28(5), 561–573.PubMedCrossRef

Lin, E., Goering, P., Offord, D. R., Campbell, D., & Boyle, M. H. (1996). The use of mental health services in Ontario: Epidemiologic findings. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 41(9), 572–577.PubMed

Mackenzie, C. S., Gekoski, W. L., & Knox, V. J. (2006). Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes. Aging & Mental Health, 10(6), 574–582.CrossRef

MHCC Diversity Task Group. (2009). Improving mental health services for immigrant, refugee, ethno-cultural and racialized groups. Issues and options for service improvement. Toronto: Centre for Addiction and Mental Health.

Murali, & Oyebode, (2004). Poverty, social inequality and mental health. Advances in Psychiatric Treatment, 10, 216.CrossRef

Ojeda, V. D., & Bergstresser, S. M. (2008). Gender, race-ethnicity, and psychosocial barriers to mental health care: An examination of perceptions and attitudes among adults reporting unmet need. Journal of Health and Social Behavior, 49(3), 317–334.PubMedCrossRef

Steele, L. S., Glazier, R. H., Agha, M., & Moineddin, R. (2009). The gatekeeper system and disparities in use of psychiatric care by neighbourhood education level: Results of a nine-year cohort study in Toronto. Healthcare Policy = Politiques De Sante, 4(4), e133–e150.PubMed

Steele, L. S., Glazier, R. H., & Lin, E. (2006). Inequity in mental health care under Canadian universal health coverage. Psychiatric Services (Washington, D. C.), 57(3), 317–324.CrossRef

Stergiopoulos, V., Dewa, C., Durbin, J., Chau, N., & Svoboda, T. (2010). Assessing the mental health service needs of the homeless: A level-of-care approach. Journal of Health Care for the Poor and Underserved, 21(3), 1031–1045.PubMedCrossRef

Stuart, H., Krupa, T., & Koller, M. (2010). Funding growth and service match: Doing more of the same, or doing things better? Canadian Journal of Community Mental Health, 29(5), 97–109.

Tataryn, D., Mustard, C., & Derksen, S. (1994). The utilization of medical services for mental health disorders: Manitoba: 1991–1992. Winnipeg: Centre for Health Policy and Evaluation.

Thornicroft, G., & Tansella, M. (2004). Components of a modern mental health service: A pragmatic balance of community and hospital care: Overview of systematic evidence. The British Journal of Psychiatry: The Journal of Mental Science, 185, 283–290.CrossRef

Tondo, L., Albert, M. J., & Baldessarini, R. J. (2006). Suicide rates in relation to health care access in the united states: An ecological study. The Journal of Clinical Psychiatry, 67(4), 517–523.PubMedCrossRef

Vasiliadis, H. M., Lesage, A., Adair, C., Wang, P. S., & Kessler, R. C. (2007). Do Canada and the United States differ in prevalence of depression and utilization of services? Psychiatric Services (Washington, D. C.), 58(1), 63–71.CrossRef

Wahl, O. F. (1999). Mental health consumers’ experience of stigma. Schizophrenia Bulletin, 25(3), 467–478.PubMedCrossRef

Ware, N., & Goldfinger, S. (1997). Poverty and rehabilitation in severe psychiatric disorders. Psychiatric Rehabilitation Journal, 21, 3.

Wiersma, D., & van Busschbach, J. (2001). Are needs and satisfaction of care associated with quality of life? An epidemiological survey among the severely mentally ill in the Netherlands. European Archives of Psychiatry and Clinical Neuroscience, 251(5), 239–246.PubMedCrossRef

Wilton, R. D. (2003). Poverty and mental health: A qualitative study of residential care facility tenants. Community Mental Health Journal, 39(2), 139–156.PubMedCrossRef

Titel: The Association Between Income Source and Met Need Among Community Mental Health Service Users in Ontario, Canada
verfasst von: Anna Durbin
Susan J. Bondy
Janet Durbin
Publikationsdatum: 01.10.2012
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 5/2012
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-011-9469-7

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2012

Mental Health Community Based Funding: Ohio’s Experience in Revising Its Funding Allocation Methodology

Psychometric Properties of a Chinese Version of the Medical Outcomes Study Family and Marital Functioning Measures in Hong Kong Chinese Childbearing Families

Needs Assessment of Individuals with Serious Mental Illness: Can It Help in Promoting Recovery?

Early Intervention Services for Psychosis and Time Until Application for Disability Income Support: A Survival Analysis

Recovery Centers for People with Severe Mental Illness: A Survey of Programs