Heterogeneity of Mental Health Service Utilization and High Mental Health Service Use Among Women Eight Years After Initiating Substance Use Disorder Treatment

Journal of Substance Abuse Treatment
Elizabeth EvansYih-Ing Hser

Abstract

The aim of this study was to determine mental health service utilization patterns among women treated for substance use disorders (SUD) and identify factors associated with patterns of high mental health service use. Data were provided by 4447 women treated for SUD in California during 2000-2002 for whom mental health services utilization records were acquired. A latent class model was fitted to women's high use of services (>6 services/year over 8years). Multinomial logistic regression was used to identify predisposing, enabling, and need factors associated with utilization patterns. In 8years after initiating SUD treatment, 50% of women utilized mental health services. High use probability was consistently low for most women (76.9%); for others, however, it decreased immediately following SUD treatment and then increased over time (8.7%), increased immediately following SUD treatment and then decreased (9.3%), or remained consistently high (5.1%). Consistently high services use was negatively associated with marriage (OR 0.60, p<0.05) and employment (OR 0.53, p<0.05) and positively associated with older age (OR 1.04, p<0.001), homelessness (OR 1.68, p<0.05), public assistance (OR 1.76, p<0.01), outpatient SUD treatment (OR 3....Continue Reading

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Citations

Aug 12, 2015·Social Psychiatry and Psychiatric Epidemiology·Michael A ManciniMichael G Vaughn
Jul 22, 2019·Journal of Racial and Ethnic Health Disparities·Lorraine T BenutoMelanie Duckworth
Nov 21, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Beth A Rutkowski
Nov 18, 2019·Current Psychiatry Reports·Amalia Londono TobonAriadna Forray
Feb 12, 2020·JMIR Research Protocols·Benita A BamgbadeKimberly Burdine
Oct 6, 2019·Journal of Immigrant and Minority Health·Ying-Yu ChaoXinQi Dong
Aug 3, 2020·Journal of Immigrant and Minority Health·Tchaa Balakiyéme BoukpessiJean-Pierre Gagnier
May 20, 2021·Journal of Mental Health·Xin XieJun Chu

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