title: The association between income source and met need among community mental health service users in Ontario, Canada.
abstract: We examined income source and match between recommended and received care among users of community mental health services. We conducted a secondary analysis of needs-based planning data on adults in Ontario community mental health programs from 2000 to 2002. The outcome was whether clients were severely underserved (yes/no) based on the match between level of care recommended and received. A logistic regression model investigated if income source predicted this outcome. 13% of clients were severely underserved. Over 40% were on public assistance and they had a higher risk of being severely undeserved than the others. Men were at greater risk. One aim of mental health reform is to increase access to care for vulnerable individuals. The finding that among users of community mental health services, individuals with public assistance income support are most vulnerable to being severely underserved should be considered by service planners and providers.
authors.affiliation: Health Policy, Management, and Evaluation, University of Toronto, Institute for Clinical Evaluative Sciences, 4th Floor, 155 College St., Toronto, ON, Canada. anna.durbin@gmail.com
authors.forename: Anna
authors.initials: A
authors.lastname: Durbin
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Bondy
authors.forename: Janet
authors.initials: J
authors.lastname: Durbin
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D003625:Data Collection; D005260:Female; D018166:Health Care Reform; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D007182:Income; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D011632:Public Assistance; D011787:Quality of Health Care; D012959:Socioeconomic Factors; D055815:Young Adult
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