Skip to main content
Top
Published in: Journal of Clinical Psychology in Medical Settings 4/2009

01-12-2009

Predictors of Recent Mental Health Service Use in a Medical Population: Implications for Integrated Care

Authors: Tracey Ledoux, Michael D. Barnett, Luz M. Garcini, Jeff Baker

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2009

Login to get access

Abstract

This study investigated the relationship between physical and mental health and psychosocial variables and recent (within the last 12 months) mental health service use among 240 medical patients recruited from general and specialty outpatient clinics at an academic medical center. Results indicated 43.3% of the participants had recently received mental health services in the form of psychotropic medication (75%), psychotherapy (2%), or a combination of these treatments (20.2%). Among patients with moderate to severe symptoms of anxiety or depression, approximately two-thirds were receiving mental health treatment. Moreover, four variables (healthcare provider referral for mental health services, perceived need for mental health services, prior use of mental health services, and frequency of medical appointments) were significant unique predictors of recent mental health service use. This suggests collaborative/integrated medical care may increase needed mental health service use.
Literature
go back to reference Barker, L. A., & Adelman, H. S. (1994). Mental health help-seeking among ethnic minority adolescents. Journal of Adolescence, 17, 251–263.CrossRef Barker, L. A., & Adelman, H. S. (1994). Mental health help-seeking among ethnic minority adolescents. Journal of Adolescence, 17, 251–263.CrossRef
go back to reference Bland, R. C., Newman, S. C., & Orn, H. (1997). Help-seeking for psychiatric disorders. Canadian Journal of Psychiatry, 42, 935–942. Bland, R. C., Newman, S. C., & Orn, H. (1997). Help-seeking for psychiatric disorders. Canadian Journal of Psychiatry, 42, 935–942.
go back to reference Carlton, P. A., & Deane, F. P. (2000). Impact of attitudes and suicidal ideation on adolescents’ intentions to seek professional psychological help. Journal of Adolescence, 23, 35–45.PubMedCrossRef Carlton, P. A., & Deane, F. P. (2000). Impact of attitudes and suicidal ideation on adolescents’ intentions to seek professional psychological help. Journal of Adolescence, 23, 35–45.PubMedCrossRef
go back to reference Deane, F. P., Skogstad, P., & Williams, M. W. (1999). Impact of attitudes, ethnicity and quality of prior therapy on New Zealand male prisoners’ intentions to seek professional psychological help. International Journal for the Advancement of Counseling, 21, 55–67.CrossRef Deane, F. P., Skogstad, P., & Williams, M. W. (1999). Impact of attitudes, ethnicity and quality of prior therapy on New Zealand male prisoners’ intentions to seek professional psychological help. International Journal for the Advancement of Counseling, 21, 55–67.CrossRef
go back to reference Dwight-Johnson, M., Sherbourne, C. D., Liao, D., & Wells, K. B. (2000). Treatment preferences among depressed primary care patients. Journal of General Internal Medicine, 15, 527–534.PubMedCrossRef Dwight-Johnson, M., Sherbourne, C. D., Liao, D., & Wells, K. B. (2000). Treatment preferences among depressed primary care patients. Journal of General Internal Medicine, 15, 527–534.PubMedCrossRef
go back to reference Eisenberg, D., Golberstein, E., & Gollust, S. E. (2007). Help-seeking and access to mental health care in a university student population. Medical Care, 45, 594–601.PubMedCrossRef Eisenberg, D., Golberstein, E., & Gollust, S. E. (2007). Help-seeking and access to mental health care in a university student population. Medical Care, 45, 594–601.PubMedCrossRef
go back to reference Engel, G. L. (1980). The clinical application of the biopsychosocial model. American Journal of Psychiatry, 137, 535–544.PubMed Engel, G. L. (1980). The clinical application of the biopsychosocial model. American Journal of Psychiatry, 137, 535–544.PubMed
go back to reference Evans, D. L., Charney, D. S., Lewis, L., Golden, R. N., Gorman, J. M., Krishnan, K., et al. (2005). Mood disorders in the medically ill: Scientific review and recommendations. Biological Psychiatry, 58, 175–189.PubMedCrossRef Evans, D. L., Charney, D. S., Lewis, L., Golden, R. N., Gorman, J. M., Krishnan, K., et al. (2005). Mood disorders in the medically ill: Scientific review and recommendations. Biological Psychiatry, 58, 175–189.PubMedCrossRef
go back to reference Fischer, E. H., & Turner, J. L. (1970). Orientations to seeking professional help: Development and research utility of an attitude scale. Journal of Consulting and Clinical Psychology, 35, 79–90.PubMedCrossRef Fischer, E. H., & Turner, J. L. (1970). Orientations to seeking professional help: Development and research utility of an attitude scale. Journal of Consulting and Clinical Psychology, 35, 79–90.PubMedCrossRef
go back to reference Hawarth, J. E., Moniz-Cook, E., Clark, A. L., Wang, M., & Cleland, J. G. F. (2007). An evaluation of two self-report screening measures for mood in an out-patient chronic heart failure population. International Journal of Geriatric Psychiatry, 22, 1147–1153.CrossRef Hawarth, J. E., Moniz-Cook, E., Clark, A. L., Wang, M., & Cleland, J. G. F. (2007). An evaluation of two self-report screening measures for mood in an out-patient chronic heart failure population. International Journal of Geriatric Psychiatry, 22, 1147–1153.CrossRef
go back to reference Klinkman, M. S. (1997). Competing demands in psychosocial care: A model for the identification and treatment of depressive disorders in primary care. General Hospital Psychiatry, 19, 98–111.PubMedCrossRef Klinkman, M. S. (1997). Competing demands in psychosocial care: A model for the identification and treatment of depressive disorders in primary care. General Hospital Psychiatry, 19, 98–111.PubMedCrossRef
go back to reference Mackenzie, C. S., Knox, V. J., Gekoski, W. L., & Macaulay, H. L. (2004). An adaptation and extension of the attitudes towards seeking professional psychological help. Journal of Applied Social Psychology, 34, 2410–2435.CrossRef Mackenzie, C. S., Knox, V. J., Gekoski, W. L., & Macaulay, H. L. (2004). An adaptation and extension of the attitudes towards seeking professional psychological help. Journal of Applied Social Psychology, 34, 2410–2435.CrossRef
go back to reference Mojtabai, R., Olfson, M., & Mechanic, D. (2002). Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Archives of General Psychiatry, 59, 77–84.PubMedCrossRef Mojtabai, R., Olfson, M., & Mechanic, D. (2002). Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Archives of General Psychiatry, 59, 77–84.PubMedCrossRef
go back to reference Nutting, P. A., Rost, K., Dickinson, M., Werner, J. J., Dickinson, P., Smith, J. L., et al. (2002). Barriers to initiating depression treatment in primary care practice. Journal of General Internal Medicine, 17(2), 103–111.PubMedCrossRef Nutting, P. A., Rost, K., Dickinson, M., Werner, J. J., Dickinson, P., Smith, J. L., et al. (2002). Barriers to initiating depression treatment in primary care practice. Journal of General Internal Medicine, 17(2), 103–111.PubMedCrossRef
go back to reference O’Donohue, W. T., Byrd, M. R., Cummings, N. A., & Henderson, D. A. (2005). Behavioral integrative care: Treatments that work in primary care settings. New York: Brunner-Routledge. O’Donohue, W. T., Byrd, M. R., Cummings, N. A., & Henderson, D. A. (2005). Behavioral integrative care: Treatments that work in primary care settings. New York: Brunner-Routledge.
go back to reference Offer, D., Howard, K. I., Schonert, K. A., & Ostrov, J. D. (1991). To whom do adolescents turn for help? Journal of the American Academy of Child and Adolescent Psychiatry, 30, 630–632.CrossRef Offer, D., Howard, K. I., Schonert, K. A., & Ostrov, J. D. (1991). To whom do adolescents turn for help? Journal of the American Academy of Child and Adolescent Psychiatry, 30, 630–632.CrossRef
go back to reference Parslow, R. A., & Jorm, A. F. (2000). Who uses mental health services in Australia? An analysis of data from the National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry, 34, 997–1008.PubMedCrossRef Parslow, R. A., & Jorm, A. F. (2000). Who uses mental health services in Australia? An analysis of data from the National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry, 34, 997–1008.PubMedCrossRef
go back to reference Rickwood, D. J., & Braithwaite, V. A. (1994). Social psychological factors affecting helpseeking for emotional problems. Social Science Medicine, 39, 563–572.PubMedCrossRef Rickwood, D. J., & Braithwaite, V. A. (1994). Social psychological factors affecting helpseeking for emotional problems. Social Science Medicine, 39, 563–572.PubMedCrossRef
go back to reference Rickwood, D. J., Deane, F. P., Wilson, C., & Ciarrochi, J. (2005). Young people’s help-seeking for mental health problems. Australian e-journal for the Advancement of Mental Health, 4, 1–34. Rickwood, D. J., Deane, F. P., Wilson, C., & Ciarrochi, J. (2005). Young people’s help-seeking for mental health problems. Australian e-journal for the Advancement of Mental Health, 4, 1–34.
go back to reference Roness, A., Mykletum, A., & Dahl, A. A. (2005). Help-seeking behaviour in patients with anxiety disorder and depression. Acta Psychiatrica Scandinavia, 111, 51–58.CrossRef Roness, A., Mykletum, A., & Dahl, A. A. (2005). Help-seeking behaviour in patients with anxiety disorder and depression. Acta Psychiatrica Scandinavia, 111, 51–58.CrossRef
go back to reference Sareen, J., Cox, B. J., Afifi, T. O., Yu, B. N., & Stein, M. B. (2005). Mental health service use in a nationally representative Canadian survey. Canadian Journal of Psychiatry, 50, 753–761. Sareen, J., Cox, B. J., Afifi, T. O., Yu, B. N., & Stein, M. B. (2005). Mental health service use in a nationally representative Canadian survey. Canadian Journal of Psychiatry, 50, 753–761.
go back to reference Shadmi, E., Boyd, C. M., Hsiao, C., Sylvia, M., Schuster, A. B., & Boult, C. (2006). Morbidity and older persons’ perceptions of the quality of their primary care. Journal of the American Geriatrics Society, 54, 330–334.PubMedCrossRef Shadmi, E., Boyd, C. M., Hsiao, C., Sylvia, M., Schuster, A. B., & Boult, C. (2006). Morbidity and older persons’ perceptions of the quality of their primary care. Journal of the American Geriatrics Society, 54, 330–334.PubMedCrossRef
go back to reference Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandeck, B. (2007). User’s manual for the SF-12v2 Health Survey. Lincoln, RI: QualityMetric Incorporated. Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandeck, B. (2007). User’s manual for the SF-12v2 Health Survey. Lincoln, RI: QualityMetric Incorporated.
go back to reference Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRef Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRef
Metadata
Title
Predictors of Recent Mental Health Service Use in a Medical Population: Implications for Integrated Care
Authors
Tracey Ledoux
Michael D. Barnett
Luz M. Garcini
Jeff Baker
Publication date
01-12-2009
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 4/2009
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-009-9171-x

Other articles of this Issue 4/2009

Journal of Clinical Psychology in Medical Settings 4/2009 Go to the issue