title: Re-Engagement into Care: The Role of Social Support on Service Use for Recurrent Episodes of Mental Health Distress Among Primary Care Patients.
abstract: Given high rates of relapse of depression, understanding mechanisms that provide long-term benefits and optimal outcomes for depressed individuals is crucial. The current study examines social support as a relevant component in service use to manage mental health needs for individuals with recurrent depression over a 5-year period. Conducting a secondary data analysis from a randomized clinical trial titled Partners in Care, the study examines direct and moderating effects over two time points of reported 12-month social support on service use for mental health needs at 57-months for an adult sample (n = 991). Direct effects were supported for demographic and need variables. Increased social support at 12-months positively moderated the relationship between health impairment and service use at 57-months. Findings inform and extend the understanding of social support as an important mechanism to care to integrate into the treatment experience, encouraging service use to manage recurrent depressive episodes.
authors.affiliation: School of Social Work, California State University, Long Beach, 1250 Bellflower Blvd., Long Beach, CA, 90840-4602, USA. marissa.hansen@csulb.edu.
authors.forename: Marissa C
authors.initials: MC
authors.lastname: Hansen
authors.affiliation: Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 W. 34th Street, Los Angeles, CA, 90089-0411, USA.
authors.forename: Dahlia
authors.initials: D
authors.lastname: Fuentes
authors.affiliation: Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 W. 34th Street, Los Angeles, CA, 90089-0411, USA.
authors.forename: Maria P
authors.initials: MP
authors.lastname: Aranda
mesh_terms: D000328:Adult; D003865:Major Depressive Disorder / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D008605:Mental Health Services; D008875:Middle Aged; D011320:Primary Health Care; D012008:Recurrence; D012944:Social Support