The provision of mental health services in schools has been one effective strategy for reaching out to a greater number of youth to identify and provide treatment for mental health issues. With the increasing challenges related to shortages in child and adolescent psychiatrists, it is critical to develop models of care that can maximize a full range of mental health services for all children an...

OBJECTIVES To conduct a systematic review of the literature on the determinants of hospital emergency department (ED) visits by elders, using a modification of the Andersen behavioral model of health services, adapted to explain ED utilization. METHODS Relevant articles were identified through MEDLINE and a search of reference lists and personal files. Studies of populations aged 65 or older ...

Perceived public stigma regarding seeking mental health treatment can be a barrier to accessing services for young adults. While factors associating with personal stigma regarding how one would view and treat others have been identified, the discrepancies between perceived and personal stigma have received less research attention. We designed the current study to expand on previous research and...

This study utilized the Expanded Behavioral Model of Health Service Use Among Vulnerable Populations to investigate disparities in mental health care use among a community sample of urban, impoverished, trauma-exposed adults. Self-report questionnaires were completed by 135 adults with a lifetime history of traumatic stress exposure. Results suggested approximately 20% of the sample were receiv...

As many as 37 million Americans have no medical insurance, but no data exist on the mental health needs of community samples of the uninsured. Using interview data from a household sample in Los Angeles, we found that the uninsured had a higher prevalence of serious psychiatric disorder (16%) than those with private health insurance (12%), but had a prevalence similar to those with Medicaid (18...

There is a paucity of empirical research investigating potential causes of racial disparities in mental health status. However, a growing body of literature exists regarding barriers to mental health service utilization among African Americans. This literature suggests that African Americans experience greater difficulty in accessing mental health services than Caucasians (Hines-Martin, Malone,...

health care system is organized to achieve more efficiency as well as developing public equity and providing access to the first, second and third levels of services. family physician is in the first line of the health care system; in other words, family physician is the health system’s goalkeeper. according to classification of health services, gaining access to specialized services becomes po...

BACKGROUND Universal access is one of the major aims in public health and social care. Services should be provided on the basis of individual needs. However, municipal autonomy and the fragmentation of services may jeopardize universal access and lead to variation between municipalities in the delivery of services. This paper aims to identify patient-level characteristics and municipality-level...

BACKGROUND In spite of the introduction of free maternal healthcare in Ghana, utilization of supervised delivery services continues to be low due partly to poor quality of antenatal care (ANC). AIM The study sought to identify the determinants of perceived quality of ANC and uptake of skilled delivery services. SUBJECTS AND METHODS A total of 363 expectant mothers were randomly selected in ...