title: Impact of lifetime evaluated need on mental health service use among African American emerging adults.
abstract: OBJECTIVE
  This study investigated the association between evaluated need and mental health service use among African-American emerging adults, when controlling for other predictor variables.
  
  
  METHODS
  Secondary analysis of data from the National Survey of American Life (2001-2003) was conducted. A nationally representative sample of African-American emerging adults, ages 18 to 29 years (N = 806), was assessed with the Composite International Diagnostic Interview. The sample included females and males with a mean age of 23 years. Evaluated need was determined by endorsement of mood, anxiety, substance use, or impulse control diagnoses. Respondents who reported ever voluntarily using mental health or general medical services to address these problems were considered to have used services.
  
  
  RESULTS
  Forty-seven percent of the sample demonstrated an evaluated need for services, whereas a quarter of the sample used services in their lifetime. Respondents who were females, had received religious/spiritual support, and who had an evaluated need for services were significantly more likely to have used services in their lifetime compared with males, those who had not received religious/spiritual support, and those without a need for services.
  
  
  CONCLUSIONS
  Literature indicates that evaluated need is a strong predictor of mental health service use, yet research examining its impact on service use among African American emerging adults is limited. This study found that along with having an evaluated need, this population was more likely to use services when supported by a religious/spiritual leader. Mental health outreach and education that incorporates the informal support systems identified by African American emerging adults, particularly males, is needed.
authors.affiliation: University of Missouri-St. Louis.
authors.forename: Sha-Lai L
authors.initials: SL
authors.lastname: Williams
authors.affiliation: Department of Psychiatry.
authors.forename: E Peter
authors.initials: EP
authors.lastname: Cabrera-Nguyen
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D001007:Anxiety / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D005260:Female; D019538:Health Care Surveys; D006301:Health Services Needs and Demand; D006801:Humans; D007175:Impulsive Behavior; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data / Q000600:supply & distribution*; D015233:Models, Statistical; D029181:Spirituality; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D014481:United States; D055815:Young Adult
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