Utilization of mental health services among rural elderly.

Abstract:

:Rural elders are an undeserved and vulnerable population with compromised access to health and human services leading to premature institutionalization. Even though elders living in rural areas have psychiatric illnesses that would prompt them to use mental health services, their use of these services remains low. This study developed predictive models of psychiatric hospitalization, use of mental health services, and use of crisis intervention by rural elders participating in an outreach case-management program. A combination of demographic, health status, and organizational variables were used in stepwise multiple regression. Being married and having supplemental insurance in addition to Medicare predicted 23% of the variance for utilization of psychiatric hospitalization. Only one variable, Medicaid, predicted 14% of the variance for use of mental health services. Type of caregiver, marital status, household composition, and Medicaid insurance accounted for 23% of the variance in utilization of crisis intervention by rural elders. Overall, the two variables that most likely predicted use of psychiatric mental health services were marital status and type of insurance.

journal_name

Arch Psychiatr Nurs

authors

Neese JB,Abraham IL,Buckwalter KC

doi

10.1016/s0883-9417(99)80015-6

subject

Has Abstract

pub_date

1999-02-01 00:00:00

pages

30-40

issue

1

eissn

0883-9417

issn

1532-8228

pii

S0883-9417(99)80015-6

journal_volume

13

pub_type

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