title: Use of Preventive Health Services in People With Serious Mental Illness: Consumer Perspectives on Barriers and Solutions.
abstract: OBJECTIVE
  This study asked 350 consumers with serious mental illness (DSM-IV) (who are using community mental health services in Sacramento County, California) for their perspective about barriers and solutions to use of preventive health services.
  
  
  METHODS
  Two questions were posed: (1) What do you think keeps you from getting preventive tests? (2) What do you think would help you complete the recommended tests? Participants were interviewed between October 2010 and December 2012. A mixed qualitative and quantitative data analysis method was used to examine participant responses.
  
  
  RESULTS
  Perceived barriers included low priority (n = 64, 20%), doctor (did not order) (n = 55, 17%), finances/insurance barriers (n = 45, 14%), fear (n = 39, 12%), and knowledge about the services (n = 31, 10%). Common solutions included doctor-related interventions (n = 75, 23%), information (n = 61, 19%), insurance coverage (n = 49, 15%), transportation (n = 36, 11%), and use of reminders (n = 28, 9%).
  
  
  CONCLUSIONS
  Consumers suggest that interventions may include providing more information and reminding doctors to order the tests and patients to complete the tests.
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of California at Davis, 2230 Stockton Blvd, Sacramento, CA. gxiong@ucdavis.edu.|Department of Psychiatry & Behavioral Sciences, University of California at Davis, Sacramento, California, USA.
authors.forename: Glen L
authors.initials: GL
authors.lastname: Xiong
authors.affiliation: Department of Public Health Sciences, UC Davis School of Medicine, Davis, California, USA.
authors.forename: Ana-Maria
authors.initials: AM
authors.lastname: Iosif
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of California at Davis, Sacramento, California, USA.
authors.forename: Nickolas H
authors.initials: NH
authors.lastname: Culpepper
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of California at Davis, Sacramento, California, USA.
authors.forename: Robert M
authors.initials: RM
authors.lastname: McCarron
mesh_terms: D002140:California; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D005239:Fear; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007348:Insurance, Health; D007407:Interviews as Topic; D001523:Mental Disorders / Q000191:economics / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010817:Physician-Patient Relations; D011314:Preventive Health Services / Q000191:economics / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors