Skip to main content
Top
Published in: Community Mental Health Journal 7/2017

01-10-2017 | Original Paper

Prior Experiences of Behavioral Health Treatment among Uninsured Young Adults Served in a Psychiatric Crisis Setting

Authors: Sarah Carter Narendorf, Richard Wagner, Nicole Fedoravicius, Micki Washburn

Published in: Community Mental Health Journal | Issue 7/2017

Login to get access

Abstract

This study qualitatively explored the past treatment experiences of uninsured young adults who sought public emergency psychiatric care. Qualitative interviews were conducted with a racially diverse sample of 55 young adults (ages 18–25) using a semi-structured interview guide, and analyzed using a team-based open coding approach. Findings emerged in three broad areas—provider-related factors, treatment-related factors, and environmental factors. Young adults talked about the importance of providers respecting and listening to them, the perceived advantages and disadvantages of therapy and medication treatment, and aspects of the environment that resulted in positive and negative experiences, particularly in inpatient settings. Providers need to convey respect and caring that transcends job duties and provide tangible skills and supports.
Literature
go back to reference Buhumaid, R., Riley, J., Sattarian, M., Bregman, B., & Blanchard, J. (2015). Characteristics of frequent users of the emergency department with psychiatric conditions. Journal of Health Care for the Poor and Underserved, 26(3), 941–950.CrossRefPubMed Buhumaid, R., Riley, J., Sattarian, M., Bregman, B., & Blanchard, J. (2015). Characteristics of frequent users of the emergency department with psychiatric conditions. Journal of Health Care for the Poor and Underserved, 26(3), 941–950.CrossRefPubMed
go back to reference Delman, J., Clark, J. A., Eisen, S. V., & Parker, V. A. (2015). Facilitators and barriers to the active participation of clients with serious mental illnesses in medication decision making: The perceptions of young adult clients. The Journal of Behavioral Health Services & Research, 42(2), 238–253. doi:10.1007/s11414-014-9431-x.CrossRef Delman, J., Clark, J. A., Eisen, S. V., & Parker, V. A. (2015). Facilitators and barriers to the active participation of clients with serious mental illnesses in medication decision making: The perceptions of young adult clients. The Journal of Behavioral Health Services & Research, 42(2), 238–253. doi:10.​1007/​s11414-014-9431-x.CrossRef
go back to reference Edlund, M. J., Wang, P. S., Berglund, P. A., Katz, S. J., Lin, E., & Kessler, R. C. (2002). Dropping out of mental health treatment: Patterns and predictors among epidemiological survey respondents in the United States and Ontario. The American Journal of Psychiatry, 159(5), 845–851. doi:10.1176/appi.ajp.159.5.845.CrossRefPubMed Edlund, M. J., Wang, P. S., Berglund, P. A., Katz, S. J., Lin, E., & Kessler, R. C. (2002). Dropping out of mental health treatment: Patterns and predictors among epidemiological survey respondents in the United States and Ontario. The American Journal of Psychiatry, 159(5), 845–851. doi:10.​1176/​appi.​ajp.​159.​5.​845.CrossRefPubMed
go back to reference Ellis, L. A., Collin, P., Hurley, P. J., Davenport, T. A., Burns, J. M., & Hickie, I. B. (2013). Young men’s attitudes and behaviour in relation to mental health and technology: Implications for the development of online mental health services. BMC Psychiatry, 13. doi:10.1186/1471-244X-13-119.PubMedPubMedCentral Ellis, L. A., Collin, P., Hurley, P. J., Davenport, T. A., Burns, J. M., & Hickie, I. B. (2013). Young men’s attitudes and behaviour in relation to mental health and technology: Implications for the development of online mental health services. BMC Psychiatry, 13. doi:10.​1186/​1471-244X-13-119.PubMedPubMedCentral
go back to reference Institute of Medicine (2001). Improving the quality of health care for mental and substance-use conditions. Washington DC: The National Academies Press. Institute of Medicine (2001). Improving the quality of health care for mental and substance-use conditions. Washington DC: The National Academies Press.
go back to reference Institute of Medicine & National Research Council (2014). Investing in the health and well-being of young adults. Washington, D. C.: The National Academies Press. Institute of Medicine & National Research Council (2014). Investing in the health and well-being of young adults. Washington, D. C.: The National Academies Press.
go back to reference Lee, B. R., Munson, M. R., Ware, N. C., Ollie, M. T., Scott, L. D. Jr., & McMillen, J. C. (2006). Experiences of and attitudes toward mental health services among older youths in foster care. Psychiatric Services, 57(4), 487–492. doi:10.1176/appi.ps.57.4.487.CrossRefPubMed Lee, B. R., Munson, M. R., Ware, N. C., Ollie, M. T., Scott, L. D. Jr., & McMillen, J. C. (2006). Experiences of and attitudes toward mental health services among older youths in foster care. Psychiatric Services, 57(4), 487–492. doi:10.​1176/​appi.​ps.​57.​4.​487.CrossRefPubMed
go back to reference Lin, M.-T., Burgess, J. F. Jr., & Carey, K. (2012). The association between serious psychological distress and emergency department utilization among young adults in the USA. Social Psychiatry and Psychiatric Epidemiology, 47(6), 939–947. doi:10.1007/s00127-011-0401-9.CrossRefPubMed Lin, M.-T., Burgess, J. F. Jr., & Carey, K. (2012). The association between serious psychological distress and emergency department utilization among young adults in the USA. Social Psychiatry and Psychiatric Epidemiology, 47(6), 939–947. doi:10.​1007/​s00127-011-0401-9.CrossRefPubMed
go back to reference Liu, S. W., Nagurney, J. T., Chang, Y., Parry, B. A., Smulowitz, P., & Atlas, S. J. (2013). Frequent ED users: Are most visits for mental health, alcohol, and drug-related complaints? American Journal of Emergency Medicine, 31(10), 1512–1515. doi:10.1016/j.ajem.2013.08.006.CrossRefPubMed Liu, S. W., Nagurney, J. T., Chang, Y., Parry, B. A., Smulowitz, P., & Atlas, S. J. (2013). Frequent ED users: Are most visits for mental health, alcohol, and drug-related complaints? American Journal of Emergency Medicine, 31(10), 1512–1515. doi:10.​1016/​j.​ajem.​2013.​08.​006.CrossRefPubMed
go back to reference Munson, M. R., Cole, A., Jaccard, J., Kranke, D., Farkas, K., & Frese, F. J. III (2016). An engagement intervention for young adults with serious mental health conditions. The Journal of Behavioral Health Services and Research, 43(4), 542–563. doi:10.1007/s11414-014-9424-9.CrossRefPubMed Munson, M. R., Cole, A., Jaccard, J., Kranke, D., Farkas, K., & Frese, F. J. III (2016). An engagement intervention for young adults with serious mental health conditions. The Journal of Behavioral Health Services and Research, 43(4), 542–563. doi:10.​1007/​s11414-014-9424-9.CrossRefPubMed
go back to reference Munson, M. R., & Lox, J. A. (2012). Clinical social work practice with former system youth with mental health needs: Perspective of those in need. Clinical Social Work Journal, 40(2), 255–260. doi:10.1007/s10615-012-0381-6.CrossRef Munson, M. R., & Lox, J. A. (2012). Clinical social work practice with former system youth with mental health needs: Perspective of those in need. Clinical Social Work Journal, 40(2), 255–260. doi:10.​1007/​s10615-012-0381-6.CrossRef
go back to reference Munson, M. R., Scott, L. D. Jr., Smalling, S. E., Kim, H., & Floersch, J. E. (2011). Former system youth with mental health needs: Routes to adult mental health care, insight, emotions, and mistrust. Children and Youth Services Review, 33(11), 2261–2266. doi:10.1016/j.childyouth.2011.07.015.CrossRef Munson, M. R., Scott, L. D. Jr., Smalling, S. E., Kim, H., & Floersch, J. E. (2011). Former system youth with mental health needs: Routes to adult mental health care, insight, emotions, and mistrust. Children and Youth Services Review, 33(11), 2261–2266. doi:10.​1016/​j.​childyouth.​2011.​07.​015.CrossRef
go back to reference Narendorf, S. C., Munson, M. R., & Floersch, J. (2015). Perspectives on psychotropic medication treatment among young adults formerly served in public systems of care: A thematic and narrative analysis. Journal of the Society for Social Work and Research, 6(1), 121–143. doi:10.1086/680318.CrossRef Narendorf, S. C., Munson, M. R., & Floersch, J. (2015). Perspectives on psychotropic medication treatment among young adults formerly served in public systems of care: A thematic and narrative analysis. Journal of the Society for Social Work and Research, 6(1), 121–143. doi:10.​1086/​680318.CrossRef
go back to reference Simmons, M. B., Hetrick, S. E., & Jorm, A. F. (2011). Experiences of treatment decision making for young people diagnosed with depressive disorders: A qualitative study in primary care and specialist mental health settings. BMC Psychiatry. doi:10.1186/1471-244X-11-194.PubMedPubMedCentral Simmons, M. B., Hetrick, S. E., & Jorm, A. F. (2011). Experiences of treatment decision making for young people diagnosed with depressive disorders: A qualitative study in primary care and specialist mental health settings. BMC Psychiatry. doi:10.​1186/​1471-244X-11-194.PubMedPubMedCentral
go back to reference Stiffman, A. R., Horwitz, S. M., Hoagwood, K., Compton, W. III, Cottler, L., Bean, D. L., ... Weisz, J. R. (2000). The Service Assessment for Children and Adolescents (SACA): Adult and child reports. Journal of the American Academy of Child and Adolescent Psychiatry, 39(8), 1032–1039. doi:10.1097/00004583-200008000-00019.CrossRefPubMed Stiffman, A. R., Horwitz, S. M., Hoagwood, K., Compton, W. III, Cottler, L., Bean, D. L., ... Weisz, J. R. (2000). The Service Assessment for Children and Adolescents (SACA): Adult and child reports. Journal of the American Academy of Child and Adolescent Psychiatry, 39(8), 1032–1039. doi:10.​1097/​00004583-200008000-00019.CrossRefPubMed
go back to reference Strauss, A., & Corbin, J. (1990). Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Newbury Park, CA: Sage. Strauss, A., & Corbin, J. (1990). Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Newbury Park, CA: Sage.
go back to reference Thompson, S. J., Bender, K., Lantry, J., & Flynn, P. M. (2007). Treatment engagement: Building therapeutic alliance in home-based treatment with adolescents and their families. Contemporary Family Therapy: An International Journal, 29(1–2), 39–55. doi:10.1007/s10591-007-9030-6.CrossRef Thompson, S. J., Bender, K., Lantry, J., & Flynn, P. M. (2007). Treatment engagement: Building therapeutic alliance in home-based treatment with adolescents and their families. Contemporary Family Therapy: An International Journal, 29(1–2), 39–55. doi:10.​1007/​s10591-007-9030-6.CrossRef
go back to reference Vanheusden, K., Mulder, C. L., van der Ende, J., van Lenthe, F. J., Mackenbach, J. P., & Verhulst, F. C. (2008). Young adults face major barriers to seeking help from mental health services. Patient Education and Counseling, 73(1), 97–104. doi:10.1016/j.pec.2008.05.006.CrossRefPubMed Vanheusden, K., Mulder, C. L., van der Ende, J., van Lenthe, F. J., Mackenbach, J. P., & Verhulst, F. C. (2008). Young adults face major barriers to seeking help from mental health services. Patient Education and Counseling, 73(1), 97–104. doi:10.​1016/​j.​pec.​2008.​05.​006.CrossRefPubMed
Metadata
Title
Prior Experiences of Behavioral Health Treatment among Uninsured Young Adults Served in a Psychiatric Crisis Setting
Authors
Sarah Carter Narendorf
Richard Wagner
Nicole Fedoravicius
Micki Washburn
Publication date
01-10-2017
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 7/2017
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-017-0150-7

Other articles of this Issue 7/2017

Community Mental Health Journal 7/2017 Go to the issue