Abstract
This study compared the effectiveness of the behavioral model to predict two service utilization variables: case manager visits and total services used. Nearly 4000 individuals who were homeless and suffered from severe mental illness provided data for the study. Enabling variables explained more variance of both service utilization variables than predisposing or need variables. Social support from professionals was the strongest predictor for both service utilization variables.
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REFERENCES
Albert, M., Becker, T., McCrone, P., & Thornicroft, G. (1998). Social networks and mental health service utilization-a literature review. International Journal of Social Psychiatry, 44, 248–266.
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1–10.
Asher, H. B. (1976). Causal modeling. Beverly Hills, CA: Sage Publications.
Bovier, P. A., Chamot, E., Eytan, A., & Perneger, T. V. (2001). Patterns of use of ambulatory mental health services in a universal care setting. Psychiatric Services, 52, 1515–1520.
Burns, J. B., & Santos, A. B. (1995). Assertive community treatment: An update of randomized trials. Psychiatric Services, 46, 669–675.
Calsyn, R. J., Allen, G., Morse, G. A., Smith, R., & Tempelhoff, B. (1993). Can you trust self-report data provided by mentally ill individuals? Evaluation Review, 17, 353–366.
Calsyn, R. J., Morse, G. A., Klinkenberg, W. D., & Trusty, M. L. (1997). Reliability and validity of self-report data of homeless and mentally ill individuals. Evaluation and Program Planning, 20, 47–54.
Calsyn, R. J., & Winter, J. P. (2000). Predicting different types of service use by the elderly: The strength of the behavioral model and the value of interaction terms. Journal of Applied Gerontology, 19, 284–303.
Calsyn, R. J., & Winter, J. P. (2002). Social support, psychiatric symptoms, and housing: A causal analysis. Journal of Community Psychology, 30, 247–259.
Cooper-Patrick, L., Gallo, J. J., Powe, N. R., Steinwachs, D. M., Eaton, W. W., & Ford, D. E. (1999). Mental health service utilization by African Americans and Whites. Medical Care, 10, 1034–1045.
Dohrenwend, B. P. (1982). Psychiatric Epidemiology Research Interview (PERI). New York: Columbia University, Social Psychiatry Research Unit.
Golding, J. M., & Wells, K. B. (1990). Social support and use of mental health services by Mexican Americans and non-Hispanic whites. Basic and Applied Social Psychology, 11, 443–458.
Green-Hennessy, S. (2002). Factors associated with receipt of behavioral health services among persons with substance dependence. Psychiatric Services, 43, 1592–1598.
Horvath, A. O., & Greenberg, L. S. (Eds.). (1994). The helping alliance: Theory, research, and practice. New York: John Wiley & Sons.
Kessler, R. C., Zhao, S., Katz, S. J., Kouzis, A. C., Frank, R. G., Edlund, M., & Leaf, P. (1999). Pastyear use of outpatient services for psychiatric problems in the national comorbidity survey. American Journal of Psychiatry, 156, 115–123.
Lin, E., Goering, P., Offord, D., Campbell, D. R., & Boyle, M. H. (1996). The use of mental health services in Ontario: Epidemiologic findings. Canadian Journal of Psychiatry, 41, 572–577.
McLellan, A. T., Luborsky, L., Woody, G. E., & O'Brien, C. P. (1980). An improved diagnostic evaluation instrument for substance abuse patients: The addiction severity index. Journal of Nervous and Mental Disease, 168, 26–33.
Morse, G.A., & Calsyn, R.J. (1986). Mentally disturbed homeless people in St. Louis: Needy, willing, but undeserved. International Journal of Mental Health, 14, 74–94.
Morse, G. A., Calsyn, R. J., Miller, J., Rosenberg, P., West, L., & Gilliland, J. (1996). Outreach to homeless mentally ill people: Conceptual and clinical considerations. Community Mental Health Journal, 32, 261–274.
Narrow, W. E., Regier, D. A., Norquist, G., Rae, D. S., Kennedy, C., & Arons, B. (2000). Mental health service use by Americans with severe mental illnesses. Social Psychiatry and Psychiatric Epidemiology, 35, 147–155.
Parslow, R. A., & Jorm, A. F. (2000). Who uses mental health services in Australia? An analysis of data from the national survey of mental health and wellbeing. Australian and New Zealand Journal of Psychiatry, 34, 997–1008.
Pescosolido, B. A. (1991). Illness careers and network ties: A conceptual model of utilization and compliance. Advances in Medical Sociology, 2, 161–184.
Randolph, F., Blasinky, M., Morrissey, J. P., Rosenheck, R. A., Cocozza, J., Goldman, H. H., & the ACCESS National Evaluation Team. (2002). Overview of the ACCESS Program. Psychiatric Services, 53, 945–948.
Robins, L. N., Helzer, J. E., & Croughan (1981). The National Institute of Mental Health diagnostic interview schedule. Archives of General Psychiatry, 38, 381–389.
Rosenheck, R., & Lam, J. (1997). Individual and community-level variation in intensity and diversity of service utilization by homeless persons. Journal of Nervous and Mental Disease, 185, 633–638.
Rosenheck, R. A., Lam, J., Morrissey, J. P., Calloway, M. O., Stolar, M., & Randolph, F. (2002). Service systems integration and outcomes for mentally ill homeless persons in the ACCESS program. Psychiatric Services, 53, 958–966.
Ross, H. E., Lin, E., & Cunningham, J. (1999). Mental health service use: A comparison of treated and untreated individuals with substance use disorders in Ontario. Canadian Journal of Psychiatry, 44, 570–577.
Snowden, L. R. (1999). African American service use for mental health problems. Journal of Community Psychology, 27, 303–313.
Stahl, S. M. (1984). Health. In D. J. Mangen & W. A. Petersen (Eds.), Research Instruments in Social Gerontology, Vol. 3. (pp. 102–104). Minneapolis: University of Minnesota Press.
Vega, W. A., Kolody, B., & Aguilar-Gaxiola, S. (2001). Help seeking for mental health problems among Mexican Americans. Journal of Immigrant Health, 3, 133–140.
Watkins, K. E., Burnam, A., Kung, F., & Paddock, S. (2001) A national survey of care for persons with co-occurring mental and substance use disorders. Psychiatric Services, 52, 1062–1068.
Wu, L., Kouzis, A. C., & Leaf, P. J. (1999) Influence of comorbid alcohol and psychiatric disorders on utilization of mental health services in the national comorbidity survey. American Journal of Psychiatry, 156, 1230–1236.
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Lemming, M.R., Calsyn, R.J. Utility of the Behavioral Model in Predicting Service Utilization by Individuals Suffering from Severe Mental Illness and Homelessness. Community Ment Health J 40, 347–364 (2004). https://doi.org/10.1023/B:COMH.0000035229.20557.5c
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DOI: https://doi.org/10.1023/B:COMH.0000035229.20557.5c