Access to Specialty Mental Health Services Among Women in California

Rachel E. Kimerling · Nikki Baumrind

75 citations0/0 files storedPsychiatric Services

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Mental Health Treatment and Access Health disparities and outcomes Migration, Health and Trauma

Abstract

OBJECTIVE: The Anderson behavioral model was used to investigate racial and ethnic disparities in access to specialty mental health services among women in California as well as factors that might account for such disparities. METHODS: The study was a cross-sectional examination of a probability sample of 3,750 California women. The main indicators of access to services were perceived need, service seeking, and service use. Multivariate models were constructed that accounted for need and enabling and demographic variables. RESULTS: Significant racial and ethnic variations in access to specialty mental health services were observed. African-American, Hispanic, and Asian women were significantly less likely to use specialty mental health services than white women. Multivariate analyses showed that Hispanic and Asian women were less likely than white women to report perceived need, even after frequent mental distress had been taken into account. Among women with perceived need, African-American and Asian women were less likely than white women to seek mental health services after differences in insurance status had been taken into account. Among women who sought services, Hispanic women were less likely than white women to obtain services after adjustment for the effects of poverty. Need and enabling factors did not entirely account for the observed disparities in access to services. CONCLUSIONS: Additional research is needed to identify gender- and culture-specific models for access to mental health services in order to decrease disparities in access. Factors such as perceived need and decisions to seek services are important factors that should be emphasized in future studies.

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References

1995Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?2001Ethnic Disparities in Unmet Need for Alcoholism, Drug Abuse, and Mental Health Care 2002Mental Health Care for Latinos: Inequalities in Use of Specialty Mental Health Services Among Latinos, African Americans, and Non-Latino Whites 2003The Centers for Disease Control and Prevention's Healthy Days Measures - population tracking of perceived physical and mental health over time.2000Who is at risk of nondetection of mental health problems in primary care?2003Racial/Ethnic Disparities in the Use of Mental Health Services in Poverty Areas 1999Mental Health Issues for Asian Americans 2004Disparities in care for depression among primary care patients

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