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. 2020 Jul;47(4):606-616.
doi: 10.1007/s10488-020-01021-6.

Barriers to Mental Health Service Use and Predictors of Treatment Drop Out: Racial/Ethnic Variation in a Population-Based Study

Jennifer Greif Green  1 , Katie A McLaughlin  2 , Mirko Fillbrunn  3 , Marie Fukuda  3 , James S Jackson  4 , Ronald C Kessler  5 , Ekaterina Sadikova  5 , Nancy A Sampson  5 , Corrie Vilsaint  3 , David R Williams  6 , Mario Cruz-Gonzalez  3 , Margarita Alegría  3
Affiliations

Barriers to Mental Health Service Use and Predictors of Treatment Drop Out: Racial/Ethnic Variation in a Population-Based Study

Jennifer Greif Green et al. Adm Policy Ment Health. 2020 Jul.

Abstract

This study examines racial/ethnic differences in perceived need for mental health treatment, barriers to treatment receipt, and reasons for dropout. Data are from the Collaborative Psychiatric Epidemiology Studies, a pooled dataset from three U.S. nationally-representative adult samples. Among respondents with a 12-month psychiatric disorder who received no treatment (N = 1417), Asians and Latinos reported lower perceived need than Blacks and Whites, and Latinos reported the fewest attitudinal barriers. Among those with a 12-month disorder who dropped out of treatment, Asians and Latinos gave more reasons for dropping out. Significant interactions of race/ethnicity with other characteristics identified subpopulations with high unmet need.

Keywords: CPES; Disparities; Inequities; Mental health; Race/ethnicity; Services; Treatment.

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Conflict of interest statement

Disclosure of Potential Conflicts of Interest: In the past 3 years, Dr. Kessler received support for his epidemiological studies from Sanofi Aventis; was a consultant for Johnson & Johnson Wellness and Prevention, Shire, Takeda; and served on an advisory board for the Johnson & Johnson Services Inc. Lake Nona Life Project. Kessler is a co-owner of DataStat, Inc., a market research firm that carries out healthcare research. The other authors declare no competing interests.

Figures

Figure 1:
Figure 1:
Question flow for CPES service use section on Barriers to Treatment and Treatment Dropout.
See this image and copyright information in PMC

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