title: Epilepsy care and mental health care for people with epilepsy: California Health Interview Survey, 2005.
abstract: BACKGROUND
  Epilepsy, which requires complex care, can be further complicated by comorbid mental illness. Evidence indicates deficiencies exist in the care received for both epilepsy-related care and for mental health care in people with epilepsy. Evidence indicates there are deficiencies in both these areas for people with epilepsy. Our objective was to evaluate treatment gaps in epilepsy and mental health care among California adults with epilepsy and to compare the mental health services and treatment received by people with epilepsy to that of the general population.
  
  
  METHODS
  We conducted multivariate analyses of data from the 2005 California Health Interview Survey (N = 43,020), which included data from 604 adult participants who said they had been told they had epilepsy, to examine comparisons of interest.
  
  
  RESULTS
  Twenty-seven percent of California adults with epilepsy who had had at least 1 seizure in the past 3 months had not seen a neurologist or epilepsy specialist in the past year. Of respondents with psychological distress and epilepsy, 84% perceived a need for mental health care in the past year, but only 57% had seen a mental health provider during that time. Of respondents without epilepsy but with psychological distress, 77% perceived a need for mental health care in the past year, but only 32% had seen a mental health provider during that time.
  
  
  CONCLUSIONS
  California adults with epilepsy appear to have substantial unmet needs in both epilepsy care and mental health care. Adults with epilepsy and psychological distress appeared to have received more mental health treatment than psychologically distressed adults without epilepsy. Efforts should be made to improve access to quality epilepsy care that includes assessment and treatment of mental health disorders.
authors.affiliation: Behavioral Health Services, Group Health Cooperative, Metropolitan Park East, 1730 Minor Ave, Ste 1400, Seattle, WA 98101, USA. awthomp@uw.edu
authors.forename: Alexander W
authors.initials: AW
authors.lastname: Thompson
authors.forename: Rosemarie
authors.initials: R
authors.lastname: Kobau
authors.forename: Royce
authors.initials: R
authors.lastname: Park
authors.forename: David
authors.initials: D
authors.lastname: Grant
mesh_terms: D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D002140:California / Q000453:epidemiology; D015897:Comorbidity; D004636:Emergency Service, Hospital; D004827:Epilepsy / Q000453:epidemiology / Q000628:therapy*; D006297:Health Services Accessibility / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006306:Health Surveys; D006801:Humans; D007348:Insurance, Health; D007407:Interviews as Topic; D008605:Mental Health Services / Q000706:statistics & numerical data*; D016017:Odds Ratio; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012307:Risk Factors
chemical_list: D000927:Anticonvulsants; D011619:Psychotropic Drugs