Failure to Seek Health Care Among the Mentally Ill

Overview

Journal Am J Orthopsychiatry

Publisher American Psychological Association

Specialties Psychiatry
Psychology

Date 2005 Feb 16

PMID 15709850

Citations 6

Authors

Hyeouk C Hahm

Steven P Segal

Affiliations

Soon will be listed here.

Abstract

This study describes failure to seek health care among 673 new adult clients seeking mental health services in the San Francisco Bay area. Overall, 49% (n = 328) reported a failure to seek health care they believed was needed in the past year. People with dual diagnosis, severe depression, chronic physical illness, fear of coercive treatment, private insurance, and no insurance were more likely to fail to seek health care. Greater use of private physicians decreased the odds of failure to seek health care. These findings highlight the need to target groups at risk for failure to seek health care and the need to design nonthreatening programs to improve health access for people with mental illness.

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References

Segal S, Hardiman E, Hodges J . Characteristics of new clients at self-help and community mental health agencies in geographic proximity. Psychiatr Serv. 2002; 53(9):1145-52. PMC: 7852554. DOI: 10.1176/appi.ps.53.9.1145. View

Lindan C, Avins A, Woods W, Hudes E, Clark W, Hulley S . Levels of HIV testing and low validity of self-reported test results among alcoholics and drug users. AIDS. 1994; 8(8):1149-55. DOI: 10.1097/00002030-199408000-00018. View

Black D, Warrack G, Winokur G . The Iowa record-linkage study. II. Excess mortality among patients with organic mental disorders. Arch Gen Psychiatry. 1985; 42(1):78-81. DOI: 10.1001/archpsyc.1985.01790240080008. View

Felker B, Yazel J, Short D . Mortality and medical comorbidity among psychiatric patients: a review. Psychiatr Serv. 1996; 47(12):1356-63. DOI: 10.1176/ps.47.12.1356. View

Hall R, Gardner E, Popkin M, LeCann A, Stickney S . Unrecognized physical illness prompting psychiatric admission: a prospective study. Am J Psychiatry. 1981; 138(5):629-35. DOI: 10.1176/ajp.138.5.629. View

Hueston W, HUBBARD E . Preventive services for rural and urban African American adults. Arch Fam Med. 2000; 9(3):263-6. DOI: 10.1001/archfami.9.3.263. View

BABIGIAN H, Odoroff C . The mortality experience of a population with psychiatric illness. Am J Psychiatry. 1969; 126(4):470-80. DOI: 10.1176/ajp.126.4.470. View

Koranyi E . Morbidity and rate of undiagnosed physical illnesses in a psychiatric clinic population. Arch Gen Psychiatry. 1979; 36(4):414-9. DOI: 10.1001/archpsyc.1979.01780040056006. View

Eastwood M, Stiasny S, Meier H, Woogh C . Mental illness and mortality. Compr Psychiatry. 1982; 23(4):377-85. DOI: 10.1016/0010-440x(82)90088-8. View

10.

Rhoades H, Overall J . The semistructured BPRS interview and rating guide. Psychopharmacol Bull. 1988; 24(1):101-4. View

11.

Berren M, Santiago J, Zent M, Carbone C . Health care utilization by persons with severe and persistent mental illness. Psychiatr Serv. 1999; 50(4):559-61. DOI: 10.1176/ps.50.4.559. View

12.

Segal S, Kotler P . Sheltered care residence: ten-year personal outcomes. Am J Orthopsychiatry. 1993; 63(1):80-91. PMC: 7394057. DOI: 10.1037/h0079409. View

13.

Black D, Warrack G, Winokur G . The Iowa record-linkage study. III. Excess mortality among patients with 'functional' disorders. Arch Gen Psychiatry. 1985; 42(1):82-8. DOI: 10.1001/archpsyc.1985.01790240084009. View

14.

. Health care reform for Americans with severe mental illnesses: report of the National Advisory Mental Health Council. Am J Psychiatry. 1993; 150(10):1447-65. DOI: 10.1176/ajp.150.10.1447. View

15.

Kushel M, Vittinghoff E, Haas J . Factors associated with the health care utilization of homeless persons. JAMA. 2001; 285(2):200-6. DOI: 10.1001/jama.285.2.200. View

16.

Farmer S . Medical problems of chronic patients in a community support program. Hosp Community Psychiatry. 1987; 38(7):745-9. DOI: 10.1176/ps.38.7.745. View

17.

Galavotti C, Saltzman L, Sauter S, Sumartojo E . Behavioral science activities at the Centers for Disease Control and Prevention. A selected overview of exemplary programs. Am Psychol. 1997; 52(2):154-66. DOI: 10.1037//0003-066x.52.2.154. View

18.

. From the Centers for Disease Control and Prevention. Tuberculosis morbidity among U.S.-born and foreign-born populations--United States, 2000. MMWR Morb Mortal Wkly Rep. 2002; 51(5):101-4. View

19.

Andersen R . Revisiting the behavioral model and access to medical care: does it matter?. J Health Soc Behav. 1995; 36(1):1-10. View

20.

Segal S, Kotler P . A ten-year perspective of mortality risk among mentally ill patients in sheltered care. Hosp Community Psychiatry. 1991; 42(7):708-13. PMC: 7505209. DOI: 10.1176/ps.42.7.708. View