title: Prediction of Mental Health Services Use One Year After Regular Referral to Specialized Care Versus Referral to Stepped Collaborative Care.
abstract: Referral to collaborative mental health care within the primary care setting is a service concept that has shown to be as effective as direct referral to specialized mental health care for patients with common mental disorders. Additionally it is more efficient in terms of lower mental health services use. This post-hoc analysis examines if treatment intensity during 1-year of follow-up can be predicted prospectively by baseline characteristics. With multilevel multivariate regression analyses baseline characteristics were examined as potential predictors of visit counts. Results showed that only the enabling factors service concept and referral delay for treatment had a significant association with mental health visit counts, when outcome was dichotomized in five or more visits. Inclusion of the outcome variable as a count variable confirmed the predictive value of service concept and referral delay, but added marital status as a significant predictor. Overall, enabling factors (service concept and referral delay) seem to be important and dominant predictors of mental health services use.
authors.affiliation: Parnassia Groep, Parnassia Academie, Kiwistraat 32, 2552 DH, The Hague, The Netherlands. m.vanorden@parnassiagroep.nl.
authors.forename: Mirjam
authors.initials: M
authors.lastname: van Orden
authors.affiliation: Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Leone
authors.affiliation: Medical Chronobiology, PsyQ, The Hague, The Netherlands.|Faculty of Social and Behavioral Sciences, Leiden University, Leiden, The Netherlands.
authors.forename: Judith
authors.initials: J
authors.lastname: Haffmans
authors.affiliation: Faculty of Social and Behavioral Sciences, Leiden University, Leiden, The Netherlands.
authors.forename: Philip
authors.initials: P
authors.lastname: Spinhoven
authors.affiliation: Faculty of Social and Behavioral Sciences, Leiden University, Leiden, The Netherlands.|Indigo Zorgservice, Parnassia Groep, The Hague, The Netherlands.
authors.forename: Erik
authors.initials: E
authors.lastname: Hoencamp
mesh_terms: D000328:Adult; D003299:Cooperative Behavior; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy; D008603:Mental Health; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D011320:Primary Health Care; D012017:Referral and Consultation; D012189:Retrospective Studies; D013038:Specialization
keywords: Collaborative mental health care; Mental health services use; Prediction; Service concept