Older adult users of outpatient mental health services

Speer, David C.; Williams, Jeffrey M.; West, Helen; Dupree, Larry W.

doi:10.1007/bf00752716

Cited by 28 publications

(11 citation statements)

References 12 publications

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“…The data to be reported here are from a descriptive study of the effects of outpatient counseling on general well-being among clients of the Mature Adult Counseling Center (MACC) at the Florida Mental Health Institute. MACC provides mental health services to people 55 years of age and older, is a traditional outpatient clinic, and uses a brief therapy model (Speer, Williams, West, & Dupree, 1991). The average age of clients is approximately 63, about two thirds are women, and the average length of stay is about 11 sessions with a median of about 8.5 sessions.…”

Section: Methodsmentioning

confidence: 99%

Clinically significant change: Jacobson and Truax (1991) revisited.

Speer¹

1992

Journal of Consulting and Clinical Psychology

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245

190

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The relationship between statistically and clinically significant change has been enigmatic. Jacobson and Truax (1991) have proposed an important step toward rapprochement. However, their suggested index of clinically significant change neglects possible confounding of improvement rate estimates by regression to the mean. An alternative method is described that incorporates an adjustment that minimizes this confounding when statistical regression has been shown to be present. If regression is not present, the Jacobson and Truax method is more appropriate; if regression is present, the Edwards-Nunnally method (Edwards, Yarvis, Mueller, Zingale, & Wagman, 1978) is more appropriate. The two methods are compared, and the effects of instrument reliability and sample deviance on estimated improvement rates are demonstrated using general well-being test-retest data from a sample of older adult mental health outpatients.

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Section: Methodsmentioning

confidence: 99%

Clinically significant change: Jacobson and Truax (1991) revisited.

Speer¹

1992

Journal of Consulting and Clinical Psychology

Self Cite

245

190

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“…Thus, attitudes among older adults may be less attributable to age than to changing cultural acceptance of mental illness over time. Older adults who have engaged in professional psychological treatment tend to see mental health treatment as more beneficial than their counterparts who have never sought treatment (Speer et al., 1991).…”

Section: Systems Approaches To Addressing Perceived Benefitsmentioning

confidence: 99%

Conceptualizing mental health care utilization using the health belief model.

Henshaw¹,

Freedman-Doan²

2009

Clinical Psychology: Science and Practice

118

109

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This article uses the Health Belief Model (HBM; Health Education Monographs, 1974, 2:409) as a framework for explaining what factors might encourage or inhibit an individual from utilizing mental health services. TheHBM is a socio-cognitive approach that proposes that people are likely to engage in a given health-related behavior when they believe the problem could have serious consequences for daily living activities, when they believe the intervention will be effective, and when they perceive few barriers to taking action. When applied to mental health utilization, this model provides a structure for developing and evaluating programs designed to increase mental health awareness and appropriate utilization.

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“…Sheth (1971) and Day (1971) find that referrals have a greater influence on potential customers than does advertising in the purchase of low-risk innovations. This result on relative influence has received empirical support in multiple contexts, including new movies (Still, Barnes, & Kooyman, 1984), consumer services (Murray, 1991), and high-risk innovations, such as mental health services (Speer, Williams, West, & Dupree, 1991). Furthermore, negative referrals have a stronger influence on potential customers' purchase decisions than do positive referrals.…”

Section: Consequences Of Customer-to-potential Customer Referralsmentioning

confidence: 95%

Referral equity and referral management: the supplier firm's perspective

Hada¹,

Grewal²,

Lilien³

2010

Review of Marketing Research

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From the supplier firm's perspective, a referral is a recommendation from A (the referrer) to B (the potential customer) that B should, or should not, purchase from C (the supplier firm). Thus, as referrals are for a specific supplier firm, they should be viewed as part of the supplier firm's marketing and sales activities. We recognize three types of referralscustomer-to-potential customer referrals, horizontal referrals, and supplier-initiated referrals -that have critical roles in a potential customer's purchase decision. We develop the concept of referral equity to capture the net effect of all referrals for a supplier firm in the market. We argue that supplier firms should view referral equity as a resource that has financial value to the firm as it affects the firm's cash flows and profits. We offer strategies firms can use to manage referrals and build their referral equity and suggest a research agenda.

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Older adult users of outpatient mental health services

Cited by 28 publications

References 12 publications

Clinically significant change: Jacobson and Truax (1991) revisited.

Clinically significant change: Jacobson and Truax (1991) revisited.

Conceptualizing mental health care utilization using the health belief model.

Referral equity and referral management: the supplier firm's perspective

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