title: Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems.
abstract: The authors assess the correlates of mental health services utilization (MHS) after a disaster among adults with mental health problems. Data of a three-wave longitudinal study among adult survivors of a fireworks disaster (T1: 2-3 weeks, T2: 18 months, T3: almost 4 years postdisaster) were linked with their electronic medical records (N = 649). Multivariate logistic regression analyses showed that triple comorbidity of PTSD and high levels of anxiety and depression symptoms were positively associated with self-reported MHS utilization at T2 (n = 270) and T3 (n = 216). Private insurance, predisaster psychological problems, and relocation were associated with MHS utilization at T2 while female gender, being single, and migrant status was associated with MHS utilization at T3. Receiving treatment at T2 was positively associated with receiving treatment at T3, as opposed to medium optimism at T2.
authors.affiliation: Institute for Psychotrauma (IvP), Zaltbommel, The Netherlands. peter.vdvelden@ivp.nl
authors.forename: Peter G
authors.initials: PG
authors.lastname: van der Velden
authors.forename: C Joris
authors.initials: CJ
authors.lastname: Yzermans
authors.forename: Rolf J
authors.initials: RJ
authors.lastname: Kleber
authors.forename: B P R
authors.initials: BP
authors.lastname: Gersons
mesh_terms: D000293:Adolescent; D000328:Adult; D004190:Disasters; D005260:Female; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D016347:Medical Records Systems, Computerized; D001523:Mental Disorders; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D009426:Netherlands; D017741:Survivors / Q000523:psychology*