title: Demographic characteristics of individuals who received Project Liberty crisis counseling services.
abstract: OBJECTIVE
  This article describes demographic characteristics of service recipients and their patterns of use of crisis counseling services provided under Project Liberty during the 27 months after the September 11, 2001, attacks on the World Trade Center. It also examines the extent to which service recipients reflected the demographic characteristics of their home communities.
  
  
  METHODS
  A total of 753,015 service encounter logs submitted by 177 providers were analyzed to determine rates of use by different demographic groups and to evaluate patterns of use over time with goodness-of-fit and logistic regression models.
  
  
  RESULTS
  A total of 687,848 individual crisis counseling sessions were provided to an estimated 465,428 individuals, including large numbers of persons from racial or ethnic minority groups and non-English-speaking individuals. Most of these services were provided to residents of the five New York City boroughs, with a small percentage of services to residents from the ten surrounding counties. Most services were provided in community settings rather than provider offices. African-American and Hispanic individuals showed the greatest increase in rates of accessing services over time. Follow-up visits were significantly more likely to be by Caucasians than by non-Caucasians, and children were more likely than adults to receive follow-up visits. Demographic characteristics of individuals using Project Liberty crisis counseling services generally were representative of the five boroughs and ten other counties constituting the greater metropolitan region and representative of estimated need.
  
  
  CONCLUSIONS
  Project Liberty provided services that were accessible to individuals of diverse racial and ethnic backgrounds.
authors.affiliation: Center for Information Technology and Evaluation Research, New York State Office of Mental Health, Albany, USA.
authors.forename: Sheila A
authors.initials: SA
authors.lastname: Donahue
authors.forename: Nancy H
authors.initials: NH
authors.lastname: Covell
authors.forename: M Jameson
authors.initials: MJ
authors.lastname: Foster
authors.forename: Chip J
authors.initials: CJ
authors.lastname: Felton
authors.forename: Susan M
authors.initials: SM
authors.lastname: Essock
mesh_terms: D000328:Adult; D044383:Black People / Q000523:psychology / Q000706:statistics & numerical data; D002648:Child; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D003419:Crisis Intervention / Q000706:statistics & numerical data*; D018864:Cultural Diversity; D003710:Demography; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data*; D005500:Follow-Up Studies; D005610:Freedom; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D009519:New York City; D047851:September 11 Terrorist Attacks / Q000706:statistics & numerical data*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000628:therapy; D014600:Utilization Review / Q000706:statistics & numerical data; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data; D001741:Black or African American