title: Geographic and racial-ethnic differences in satisfaction with and perceived benefits of mental health services.
abstract: OBJECTIVE
  This study examined whether racial-ethnic differences in satisfaction with and perceived benefits from mental health services vary by geographic region among U.S. adults.
  
  
  METHODS
  Drawn from the Collaborative Psychiatric Epidemiology Surveys (CPES), selected samples consisted of 2,160 adults age 18 and older from diverse racial-ethnic groups (Asian, black, Hispanic/Latino, and white) who had used mental health services in the past 12 months. Generalized linear model analysis was conducted for the United States as a whole and separately by geographic region (Northeast, South, Midwest, and West) after adjustment for covariates.
  
  
  RESULTS
  In the national sample, no significant main effects of race-ethnicity and geographic region were found in either satisfaction with or perceived benefits from mental health services. In the stratified analyses for geographic regions, however, significant racial-ethnic differences were observed in the West; blacks in the West were significantly more likely to report higher satisfaction and perceived benefits, whereas Hispanics/Latinos in the West were significantly less likely to do so.
  
  
  CONCLUSIONS
  The findings suggest that there are regional variations of racial-ethnic differences in satisfaction with and perceived benefits from mental health services among U.S. adults and that addressing needs of Hispanics/Latinos in the West may help reduce racial-ethnic disparities in mental health care. Clinical and policy implications are discussed.
authors.affiliation: Dr. Kim and Dr. Parmelee are with the Center for Mental Health and Aging and Department of Psychology, University of Alabama, Tuscaloosa (e-mail: giyeon.kim@ua.edu ). Dr. Parton is with the Department of Information Systems, Statistics, and Management Science and Ms. Ford and Ms. Bryant are with the Department of Psychology, also at the University of Alabama. Dr. Shim is with the Department of Psychiatry and Behavioral Sciences and National Center for Primary Care, Morehouse School of Medicine, Atlanta.
authors.forename: Giyeon
authors.initials: G
authors.lastname: Kim
authors.forename: Jason M
authors.initials: JM
authors.lastname: Parton
authors.forename: Katy-Lauren
authors.initials: KL
authors.lastname: Ford
authors.forename: Ami N
authors.initials: AN
authors.lastname: Bryant
authors.forename: Ruth S
authors.initials: RS
authors.lastname: Shim
authors.forename: Patricia
authors.initials: P
authors.lastname: Parmelee
mesh_terms: D000328:Adult; D003625:Data Collection; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility; D054625:Healthcare Disparities / Q000208:ethnology*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D008605:Mental Health Services / Q000706:statistics & numerical data*; D020380:Needs Assessment; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D017060:Patient Satisfaction / Q000208:ethnology*; D012938:Social Perception; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology