Catchmenting and the Use of Mental Health Services

Tischler, Gary L.; Henisz, Jerzy E.; Myers, Jerome K.; Garrison, Vivian

doi:10.1001/archpsyc.1972.01750270093015

Cited by 29 publications

(2 citation statements)

References 11 publications

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“…The effect of the "catchmenting" arrangement has been to ensure a better delivery of services to the socially disadvantaged [41]. It is associated with a higher volume of care and a greater accessibility of services [42]. On the negative side, the catchment rule can have the effect of forcing attendance at a service facility which is not necessarily the At the intra-city level, this spatial bias is even more noteworthy.…”

Section: Location As Catchmentmentioning

confidence: 99%

Locational Factors in the Demand for Mental Health Care

Dear¹

1977

Economic Geography

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JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org.. Clark University is collaborating with JSTOR to digitize, preserve and extend access to Economic Geography.The demand for mental health care is not easily estimated. A surrogate measure, utilization, is viewed as a function of three groups of characteristics, relating to the service itself, the client group, and location. The influence of location upon utilization is complex. Empirical evidence from Lancaster County, Pennsylvania, supports the notion that the location variable can be decomposed into four elements: physical distance, location as catchment, social distance, and relative location. The relative importance of location is placed in proper perspective by reviewing briefly the role of client and service characteristics on mental health service utilization.Geographers have recently begun to pay increasing attention to the spatial aspects of mental health care. As might be expected in a relatively new field, most of these first research efforts remain relatively uncoordinated. However, four particular themes seem to be gaining prominence in the literature. These are:(1) descriptions of the geographical incidence of mental illness, and of its socioeconomic correlates [7; 14; 23];(2) studies in the utilization and accessibility of health service systems [7; 12; 18; 23; 36; 38]; (3) follow-up studies of the aftercare problems of patients released from mental hospitals [37; 43; 44; 47]; and, (4) analyses of neighborhood opposition to the location of communitybased mental health facilities [8; 9; 37; 47].The purpose of this paper is to provide a systematic basis for understanding the locational dimensions of the demand for mental health care. As such, it might be viewed as part of the research effort devoted toward the second research theme described above. The first section of the paper briefly outlines the theoretical basis of demand for mental health care. Then, in its major central section, the paper examines empirical evidence for the influence of location on demand. Finally, the non-geographical factors influencing demand are reviewed, in order to obtain a proper perspective on the demand problem.

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Section: Location As Catchmentmentioning

confidence: 99%

Locational Factors in the Demand for Mental Health Care

Dear¹

1977

Economic Geography

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“…Within a few years after President Kennedy's 1963 promise of a “bold new approach” to mental health care (Naierman, Haskins, Robinson, Zook, & Wilson, 1978, p. 3) many previously underserved or unserved Americans began to benefit from the congressionally established Community Mental Health Center (CMHC) program (Tischler, Henisz, Myers, & Garrison, 1972). The program's clinics, designed to help move the focus of mental health care away from human “warehouses” in state and county facilities (Naierman et al, 1978, p. 3), often were located in racially and ethnically diverse neighborhood catchment areas; their services were used predominantly by economically disadvantaged persons (Naierman et al, 1978).…”

mentioning

confidence: 99%

Research on Mental Health Services for Hispanics: Targets of Convergence.

Rogler¹

1996

Cultural Diversity and Mental Health

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In reaching to serve the mental health needs of new catchment neighborhoods, the 1963 federally funded Community Mental Health Center (CMHC) program stimulated culturally oriented research on the effectiveness of mental health services for Hispanics. The research, at first scattered and diffuse, has converged on a number of targets. This article examines four of the targets of research and how they can be brought into a unified perspective if they are viewed in temporal order as sequenced disadvantages Hispanics confront in using mental health services. The targets can be arrayed longitudinally: reasons for Hispanics' underutilization of professional mental health services, difficulties in retaining Hispanics in such services, errors in evaluating their mental health, and the problems of adapting treatment modalities to their needs.

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Utilization of Mental Health Services

Tischler¹

1975

Arch Gen Psychiatry

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Catchmenting and the Use of Mental Health Services

Cited by 29 publications

References 11 publications

Locational Factors in the Demand for Mental Health Care

Locational Factors in the Demand for Mental Health Care

Research on Mental Health Services for Hispanics: Targets of Convergence.

Utilization of Mental Health Services

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