TY - JOUR
T1 - Utilization of Health and Mental Health Services
T2 - Three Epidemiologic Catchment Area Sites
AU - Shapiro, Sam
AU - Skinner, Elizabeth A.
AU - Kessler, Larry G.
AU - Von Korff, Michael
AU - German, Pearl S.
AU - Tischler, Gary L.
AU - Leaf, Philip J.
AU - Benham, Lee
AU - Cottler, Linda
AU - Regier, Darrel A.
N1 - Copyright:
Copyright 2015 Elsevier B.V., All rights reserved.
PY - 1984/10
Y1 - 1984/10
N2 - Utilization of health and mental health services by noninstitutionalized persons aged 18 years and older is examined based on interviews with probability samples of 3,000 to 3,500 persons In each of three sites of the National Institute of Mental Health Epidemiologic Catchment Area (ECA) program: New Haven, Conn, Baltimore, and St Louis. In all three ECAs, 6% to 7% of the adults made a visit during the prior six months for mental health reasons; proportions were considerably higher among persons with recent DSM-III disorders covered by the Diagnostic Interview Schedule (DIS) or severe cognitive impairment. Between 24% and 38% of all ambulatory visits by persons with DIS disorders were to mental health specialists. In seeking mental health services, men were more likely to turn to the specialty sector than to the generalist; women used both sectors about equally. The aged infrequently received care from mental health specialists. Visits for mental health reasons varied considerably depending on specific types of DIS disorder.
AB - Utilization of health and mental health services by noninstitutionalized persons aged 18 years and older is examined based on interviews with probability samples of 3,000 to 3,500 persons In each of three sites of the National Institute of Mental Health Epidemiologic Catchment Area (ECA) program: New Haven, Conn, Baltimore, and St Louis. In all three ECAs, 6% to 7% of the adults made a visit during the prior six months for mental health reasons; proportions were considerably higher among persons with recent DSM-III disorders covered by the Diagnostic Interview Schedule (DIS) or severe cognitive impairment. Between 24% and 38% of all ambulatory visits by persons with DIS disorders were to mental health specialists. In seeking mental health services, men were more likely to turn to the specialty sector than to the generalist; women used both sectors about equally. The aged infrequently received care from mental health specialists. Visits for mental health reasons varied considerably depending on specific types of DIS disorder.
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U2 - 10.1001/archpsyc.1984.01790210053007
DO - 10.1001/archpsyc.1984.01790210053007
M3 - Article
C2 - 6477055
AN - SCOPUS:0021201916
SN - 0003-990X
VL - 41
SP - 971
EP - 978
JO - Archives of general psychiatry
JF - Archives of general psychiatry
IS - 10
ER -