title: Administrative update: utilization of services. I. Comparing use of public and private mental health services: the enduring barriers of race and age.
abstract: Data from the NIMH-Epidemiologic Catchment Area Project were used to predict differential use of private versus public outpatient mental health services, a salient concern in integrating public and private services in market-based health care reform efforts. Having a recent psychiatric disorder, being age 25-44, female, white, of higher educational level, and unmarried increase the odds of any mental health service use. However, odds of treatment in the public sector are increased for males, African Americans, those with low educational and income levels, and odds are markedly decreased for the elderly, suggesting significant barriers to care for these mentally ill subpopulations.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA.
authors.forename: M S
authors.initials: MS
authors.lastname: Swartz
authors.forename: H R
authors.initials: HR
authors.lastname: Wagner
authors.forename: J W
authors.initials: JW
authors.lastname: Swanson
authors.forename: B J
authors.initials: BJ
authors.lastname: Burns
authors.forename: L K
authors.initials: LK
authors.lastname: George
authors.forename: D K
authors.initials: DK
authors.lastname: Padgett
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000191:economics / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D017149:Private Sector; D017150:Public Sector; D044469:Racial Groups