PMID: 9175194Jun 1, 1997Paper

Factors influencing utilization of mental health and substance abuse services by American Indian men and women

Psychiatric Services : a Journal of the American Psychiatric Association
Robert W RobinDavid Goldman

Abstract

This study investigated the effects of gender, number of lifetime psychiatric diagnoses, and childhood victimization on utilization of mental health and substance abuse treatment services in a Southwestern American Indian tribe. A total of 582 individuals were recruited based on tribal enrollment and membership in large multigenerational pedigrees. Subjects were interviewed using a modified version of the Schedule for Affective Disorders and Schizophrenia-Lifetime Version, a semistructured psychiatric interview. For this study the definition of childhood victimization was limited to childhood sexual abuse. Fifty-six percent of the subjects had received mental health treatment, substance abuse treatment, or both. Patterns of service utilization differed by gender with the odds of inpatient and substance abuse treatment higher for men than for women. Women were more likely than men to receive mental health treatment. Subjects who had been sexually abused as children were more likely to have three or more psychiatric diagnoses and to have received extensive treatment, compared with subjects who reported no childhood sexual abuse history. Logistic regression demonstrated strong relationships between number of psychiatric diagnoses ...Continue Reading

Citations

Nov 17, 2005·Journal of Consulting and Clinical Psychology·Bonnie DuranJanette Beals
Aug 18, 2004·Cultural Diversity & Ethnic Minority Psychology·Kimberly F BalsamKarina L Walters
Mar 29, 2002·American Journal of Public Health·Karina L Walters, Jane M Simoni
Jan 2, 2007·Neurotoxicology and Teratology·Cindy L EhlersJose Criado
Mar 10, 2012·Journal of Psychoactive Drugs·Maria Yellow Horse Brave HeartDeborah B Altschul
Mar 4, 2008·Journal of Health & Social Policy·Olena Hankivsky, D A Draker
Sep 12, 2014·Journal of Interpersonal Violence·Alexandra LutnickAlex H Kral
Nov 25, 2014·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Soonhee RohMichael J Lawler
Oct 21, 2017·Journal of Racial and Ethnic Health Disparities·Heehyul MoonCatherine E Burnette
Jan 9, 2007·Alcoholism, Clinical and Experimental Research·Laura A SchmidtJason Bond
May 24, 2001·Alcoholism, Clinical and Experimental Research·C L EhlersE Phillips
Aug 31, 2012·The American Journal of Drug and Alcohol Abuse·Traci RieckmannJacqueline Mercer
Aug 27, 2009·International Journal of Circumpolar Health·Akm MoniruzzamanUNKNOWN Cedar Project Partnership

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