Psychological Well-Being During the Great Recession: Changes in Mental Health Care Utilization in an Occupational Cohort.

Objectives. We examined the mental health effects of the Great Recession of 2008 to 2009 on workers who remained continuously employed and insured. Methods. We examined utilization trends for mental health services and medications during 2007 to 2012 among a panel of workers in the 25 largest plants...

Full description

Bibliographic Details
Published in:American Journal of Public Health Vol. 105; no. 2; pp. 304 - 311
Main Authors: Modrek, Sepideh, Hamad, Rita, Cullen, Mark R.
Format: Journal Article
Published: American Public Health Association Feb2015
Subjects:
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=103872108&site=ehost-live
header:
  @attributes:
    shortDbName: ssf
    uiTerm: 103872108
    longDbName: Social Sciences Full Text (H.W. Wilson)
    uiTag: AN
  controlInfo:
    bkinfo:
    jinfo:
      jid:
        00900036
        APH
      jtl: American Journal of Public Health
      issn: 00900036
      maglogo: N
    pubinfo:
      dt: Feb2015
      vid: 105
      iid: 2
      pid: 44
      pub: American Public Health Association
    artinfo:
      ui:
        103872108
        10.2105/AJPH.2014.302219
      ppf: 304
      ppct: 7
      formats:
      tig:
        atl: Psychological Well-Being During the Great Recession: Changes in Mental Health Care Utilization in an Occupational Cohort.
      aug:
        au:
          Modrek, Sepideh
          Hamad, Rita
          Cullen, Mark R.
      su:
        United States
        Blue collar workers
        Employment
        Mental illness
        Well-being
        Economics
        History of economics
        Medical care use
        Medically uninsured persons
        Regression analysis
        Research funding
        Data analysis software
      sug:
        subj:
          Blue collar workers
          Employment
          Mental illness
          Well-being
          Economics
          History of economics
          United States
          Medical care use
          Medically uninsured persons
          Regression analysis
          Research funding
          Data analysis software
      ab: Objectives. We examined the mental health effects of the Great Recession of 2008 to 2009 on workers who remained continuously employed and insured. Methods. We examined utilization trends for mental health services and medications during 2007 to 2012 among a panel of workers in the 25 largest plants, located in 15 states, of a US manufacturing firm. We used piecewise regression to compare trends from 2007 to 2010 in service and medication use before and after 2009, the year of mass layoffs at the firm and the peak of the recession. Our models accounted for changes in county-level unemployment rates and individual-level fixed effects. Results. Mental health inpatient and outpatient visits and the yearly supply of mental health–related medications increased among all workers after 2009. The magnitude of the increase in medication usage was higher for workers at plants with more layoffs. Conclusions. The negative effects of the recession on mental health extend to employed individuals, a group considered at lower risk of psychological distress.
      pubtype: Academic Journal
      doctype: Journal Article
      src: R
    language: English
    refInfo:
    copyright:
      @attributes:
        flag: N
    holdings:
      @attributes:
        islocal: N