title: Racial matching and service utilization among seriously mentally ill consumers in the rural South.
abstract: The authors examined racial matching between case manager and client for 677 seriously mentally ill consumers served through a rural community mental health center in the southeastern United States. Nonparametric statistics indicated that client-case manager dyads were more likely to be of the same race than of different races. Same-race dyads tended to have greater service utilization as indicated by a greater number of made appointments over the study period. An interaction was found for failed appointments where African Americans in same-race dyads were more likely to fail appointments, while caucasian consumers in same-race dyads were less likely to fail appointments.
authors.affiliation: Southeastern Rural Mental Health Research Center, University of Virginia, Charlottesville 22903.
authors.forename: M B
authors.initials: MB
authors.lastname: Blank
authors.forename: F L
authors.initials: FL
authors.lastname: Tetrick
authors.forename: D F
authors.initials: DF
authors.lastname: Brinkley
authors.forename: H O
authors.initials: HO
authors.lastname: Smith
authors.forename: V
authors.initials: V
authors.lastname: Doheny
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001071:Appointments and Schedules; D003155:Community Mental Health Centers / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008329:Managed Care Programs; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance / Q000523:psychology*; D011369:Professional-Patient Relations; D011822:Race Relations; D012424:Rural Population; D014768:Virginia; D044465:White People / Q000523:psychology*