Assessing a CMHC's impact: Resident and gatekeeper awareness of center services

Scott, Roxanne E.; Balch, Philip; Flynn, Todd C.

doi:10.1002/1520-6629(198401)12:1<61::aid-jcop2290120108>3.0.co;2-w

Cited by 7 publications

(2 citation statements)

References 7 publications

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“…A significant step in the study of service continuance has been the shift in focus from demographic characteristics of the service recipient to service system barriers and pragmatic day-today constraints. Researchers have increasingly focused on barriers related to affordability (Lorefice, Borus, &L Keefe, 1982;Sharfstein & Taube, 1982;Takeuchi, Leaf, & Kuo, 1988); transportation and child care (Margolis & Meisels, 1987;Temkin-Greener, 1986); accessibility (Acosta, 1980;Cohen, 1972;Graziano & Fink, 1973 , 1985); and system characteristics such as the availability of services (Leaf, Bruce, Tischler, & Holzer, 1987;Scott, Balch, & Flynn, 1984;Stefl & Prosperi, 1985), hours of operation and configuration of services (Good, 1990;Margolis & Meisels, 1987;Sledge et al, 1990), and delays in scheduling appointments (Leigh, Ogborne, & Cleland, 1984;Sirles, 1990). Low-income families are particularly challenged by difficulties in meeting basic daily living needs, which can interfere with accessing and continuing in services for their children.…”

Section: Service Continuancementioning

confidence: 99%

Linking Low-Income Families to Children's Mental Health Services

Koroloff

Elliott

Koren

et al. 1996

Journal of Emotional and Behavioral Disorders

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An intervention designed to address barriers that interfere with access to children's mental health services for low-income families was implemented in three Oregon counties; four other counties were included as a comparison condition. The intervention involved the use of paraprofessionals called Family Associates who provided families with information, emotional support, and tangible assistance to reduce barriers to services. Families in the intervention group ( n = 96) were significantly more likely to initiate children's mental health services than were those in the comparison group ( n = 143); however, the groups did not differ in their rates of appointment attendance or discontinuing services prematurely. A modest but significant difference between the groups was found for family and service system empowerment, with the intervention families reporting higher levels of empowerment at post-test. The barriers to children's mental health services experienced by the intervention families and the barriers for which Family Associate services were provided are described.

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Section: Service Continuancementioning

confidence: 99%

Linking Low-Income Families to Children's Mental Health Services

Koroloff

Elliott

Koren

et al. 1996

Journal of Emotional and Behavioral Disorders

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“…Hispanics, non-Hispanic blacks, and those with less education are less likely to obtain specialty mental health care than the general population [12-14]. Even when patients recognize a need for behavioral health services, many are unaware of their options for receiving that care, or have problems accessing the system due to availability of providers or financial barriers [15-18]. …”

Section: Introductionmentioning

confidence: 99%

A needs-based method for estimating the behavioral health staff needs of community health centers

Burke

Miller

Proser

et al. 2013

BMC Health Serv Res

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BackgroundFederally Qualified Health Centers are expanding to increase access for millions of more Americans with a goal of doubling capacity to serve 40 million people. Health centers provide a lot of behavioral health services but many have difficulty accessing mental health and substance use professionals for their patients. To meet the needs of the underserved and newly insured it is important to better estimate how many behavioral health professionals are needed.MethodsUsing health center staffing data and behavioral health service patterns from the 2010 Uniform Data System and the 2010 National Survey on Drug Use and Health, we estimated the number of patients likely to need behavioral health care by insurance type, the number of visits likely needed by health center patients annually, and the number of full time equivalent providers needed to serve them.ResultsMore than 2.5 million patients, 12 or older, with mild or moderate mental illness, and more than 357,000 with substance abuse disorders, may have gone without needed behavioral health services in 2010. This level of need would have required more than 11,600 full time providers. This translates to approximately 0.9 licensed mental health provider FTE, 0.1 FTE psychiatrist, 0.4 FTE other mental health staff, and 0.3 FTE substance abuse provider per 2,500 patients. These estimates suggest that 90% of current centers could not access mental health services or provide substance abuse services to fully meet patients’ needs in 2010. If needs are similar after health center expansion, more than 27,000 full time behavioral health providers will be needed to serve 40 million medical patients, and grantees will need to increase behavioral health staff more than four-fold.ConclusionsMore behavioral health is seen in primary care than in any other setting, and health center clients have greater behavioral health needs than typical primary care patients. Most health centers needed additional behavioral health services in 2010, and this need will be magnified to serve 40 million patients. Further testing of these workforce models are needed, but the degree of current underservice suggests that we cannot wait to move on closing the gap.

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The relationship between demographic factors and attitudes toward mental health services

Leaf

Bruce

Tischler

et al. 1987

J. Community Psychol.

164

111

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Considerable effort has been exerted in recent years toward educating the public concerning mental illness and the efficacy of various treatment modalities. Most previous studies of attitudes have focused solely on attitudes toward the mentally ill. In this study we investigated attitudes toward mental health services and found that most people are positively disposed toward the use of these services. Attitudes toward the use of mental health services were affected by the age, sex, race, education, and income of the subjects. In general, differences of attitude lie in the direction that would tend to inhibit utilization among those most at risk.

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Assessing a CMHC's impact: Resident and gatekeeper awareness of center services

Cited by 7 publications

References 7 publications

Linking Low-Income Families to Children's Mental Health Services

Linking Low-Income Families to Children's Mental Health Services

A needs-based method for estimating the behavioral health staff needs of community health centers

The relationship between demographic factors and attitudes toward mental health services

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