Validating Self-Reports of Mental Health Service Use in a Chronic Population

Hennessy, Kevin D.; Reed, Sylvia K.

doi:10.1097/00005053-199206000-00011

Cited by 15 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Core mental health claims were specific to each respondent and corresponded to a 12 m onths time interval before the survey interview date. A mental health visit was defined according to whether one or more core mental health claims was made to the same physician on the same day for a Persons who had an inpatient mental health stay (n = 88), less than 1% of the sample, were excluded as this group has been found to under report their use in relation to administrative records (Clark et al, 1996;Rhodes et al, 2002;Hennesy and Reed, 1992).…”

Section: Self-reported Mental Health Service Use (Sr)mentioning

confidence: 99%

Self‐reported use of mental health services versus administrative records: care to recall?

Rhodes

Fung

2004

Int J Methods Psych Res

110

View full text Add to dashboard Cite

Estimates of the level of unmet need for mental health treatment often rely on self-reported use of mental health services. However, depressed persons may over-report their use in relation to administrative records if they are highly distressed. This study seeks to replicate and explicate the finding that persons at a high level of distress report more mental health service use than recorded in their healthcare records. The study sample, N = 36,892, 12 years and older, was drawn from the 1996/97 Ontario portion of the Canadian National Population Health Survey. Respondents were individually linked to their administrative mental healthcare records 12 months backward in time. Of these, 96.5% agreed to the link and 23,063 (62.5%) were linked. Almost two-thirds of those who were depressed in the past year were currently at a high level of distress. Differential reporting of use for highly distressed persons in excess of 100% remained in the use of different types of physician providers after adjustments for other potential determinants of use. Telescoping was also not an explanation. The patterns of differential reporting between groups expected to diverge and converge in their recall ability were consistent with a recall bias. As this study was not able to rule out a recall bias, it further accentuates concerns about the impact of bias in the measurement of mental health-service use and inferences made concerning the determinants of use.

show abstract

Section: Self-reported Mental Health Service Use (Sr)mentioning

confidence: 99%

Self‐reported use of mental health services versus administrative records: care to recall?

Rhodes

Fung

2004

Int J Methods Psych Res

110

View full text Add to dashboard Cite

show abstract

“…Indeed, prejudices against mental illness are widespread [5-7] and, as a consequence, people with a mental health problem are highly stigmatized [5-9]. Individuals with a negative attitude towards mental illness and those who have been victimized because of their mental illness or the mental illness of a close relative may be reluctant to report their symptoms and their use of mental health services in a population survey.…”

Section: Introductionmentioning

confidence: 99%

“…Most individuals would find that recalling their use of health services in the past year is quite a challenge. Those with a declining memory, such as seniors [21] and individuals who have symptoms or who take medication that affect their memory [9,22] may be especially at risk of inaccurate recall. Bhandari and Wagner [21] carried out a meta-analysis of 42 studies based on the linkage of individual data from population surveys or patients-based studies and administrative registers.…”

Section: Introductionmentioning

confidence: 99%

Discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in Québec

2011

View full text Add to dashboard Cite

BackgroundPopulation surveys and health services registers are the main source of data for the management of public health. Yet, the validity of survey data on the use of mental health services has been questioned repeatedly due to the sensitive nature of mental illness and to the risk of recall bias. The main objectives of this study were to compare data on the use of mental health services from a large scale population survey and a national health services register and to identify the factors associated with the discrepancies observed between these two sources of data.MethodsThis study was based on the individual linkage of data from the cycle 1.2 of the Canadian Community Health Survey (CCHS-1.2) and from the health services register of the Régie de l'assurance maladie du Québec (RAMQ). The RAMQ is the governmental agency managing the Quebec national health insurance program. The analyses mostly focused on the 637 Quebecer respondents who were recorded as users of mental health services in the RAMQ and who were self-reported users or non users of these services in the CCHS-1.2.ResultsRoughly 75%, of those recorded as users of mental health services users in the RAMQ's register did not report using mental health services in the CCHS-1.2. The odds of disagreement between survey and administrative data were higher in seniors, individuals with a lower level of education, legal or de facto spouses and mothers of young children. They were lower in individuals with a psychiatric disorder and in frequent and more recent users of mental health services according to the RAMQ's register.ConclusionsThese findings support the hypotheses that social desirability and recall bias are likely to affect the self-reported use of mental health services in a population survey. They stress the need to refine the investigation of mental health services in population surveys and to combine survey and administrative data, whenever possible, to obtain an optimal estimation of the population need for mental health care.

show abstract

“…Self-report measures of utilization have been shown to be reliable for short recall periods (Hennessy and Reed 1992;Cannell et al 1981;Clark et al 1996;Ungar and Coyte 1998), as is the case here, and have a distinct advantage over administrative data in that they are not limited to one administrative service system.…”

Section: Health Care Utilization Expenditures and Costsmentioning

confidence: 58%

The Influence of Integration on the Expenditures and Costs of Mental Health and Substance Use Care: Results from the Randomized PRISM-E Study

et al. 2008

View full text Add to dashboard Cite

We compared the healthcare costs associated with an integrated care model to an enhanced referral model for the treatment of depression, anxiety, and atrisk drinking from the randomized Primary Care Research in Substance Abuse and Mental Health for the Elderly study. We examined total healthcare costs and cost components, separately for Veterans Affairs (VA) and non-VA participants. No differences in total health expenditures were detected between study arms. No differences in behavioral health expenditures were detected for non-VA sites, but the VA integrated arm had slightly higher ($38; p<0.05) behavioral health costs. Differences in other types of services use were detected.

show abstract

Validating Self-Reports of Mental Health Service Use in a Chronic Population

Cited by 15 publications

References 0 publications

Self‐reported use of mental health services versus administrative records: care to recall?

Self‐reported use of mental health services versus administrative records: care to recall?

Discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in Québec

The Influence of Integration on the Expenditures and Costs of Mental Health and Substance Use Care: Results from the Randomized PRISM-E Study

Contact Info

Product

Resources

About