Exploring Disparities in Behavioral Health Service Use in the Early Stages of the COVID-19 Pandemic.
Background: Previous studies examined the impact of the COVID-19 pandemic on mental health, but few studies looked at associations between the pandemic and state-funded behavioral health service utilization. We aimed to examine behavioral health service utilization during the early phase of COVID-19...
| Publicado en: | International Journal of Behavioral Medicine Vol. 31; no. 4; pp. 549 - 563 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178623444&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178623444 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Aug2024 vid: 31 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 178623444 164452771 178623444 178623444 10.1007/s12529-023-10192-z 178623444 ppf: 549 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Exploring Disparities in Behavioral Health Service Use in the Early Stages of the COVID-19 Pandemic. aug: au: Hong, Saahoon Walton, Betty Kim, Hea-Won Kaboi, Maryanne Moynihan, Stephanie Rhee, Taeho Greg affil: School of Social Work, Indiana University, Indianapolis, IN, USA sug: subj: COVID-19 Pandemic Mental Health Services Healthcare Disparities Health Resource Utilization Mental Disorders Prevention and Control Substance Use Disorders Prevention and Control Comorbidity Prevention and Control Human Male Female Poisson Distribution Scales Health Services Needs and Demand Needs Assessment Confidence Intervals Comparative Studies Adolescence Adult Middle Age Aged Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Previous studies examined the impact of the COVID-19 pandemic on mental health, but few studies looked at associations between the pandemic and state-funded behavioral health service utilization. We aimed to examine behavioral health service utilization during the early phase of COVID-19 among individuals with psychiatric disorders (PD), substance use disorders (SUD), and co-occurring disorders (COD). Methods: Using the last Adult Needs and Strengths Assessment (ANSA) completed in 2019 and 2020 in a Midwestern state, a column proportion test and Poisson regression model examined the associations of the pandemic year, age, gender, race/ethnicity, diagnostic type, and behavioral health needs. Results: Between 2019 and 2020, the number of adults newly involved in behavioral health services increased from 11,882 to 17,385. The number of total actionable items (TAI) differed by gender and age group. Adults who were Black or American Indian were more likely to have a significantly higher number of needs that interfered with functioning (β = 0.08; CI [0.06, 0.09]), (β = 0.16; CI [0.08, 0.23]), respectively, than White peers. Individuals with COD showed the highest number of needs (β = 0.27; CI [0.26, 0.28]) when compared to the needs of individuals with psychiatric disorders, after controlling for year, age, gender, and race/ethnicity. Conclusions: Additional research is needed to better understand the intersections of age, gender identity, race/ethnicity, the complexity of needs, and useful strengths. The involvement of practitioners, service organizations, researchers, and policymakers will be required to provide accessible, effective behavioral health services with cultural and developmental adaptations to support recovery. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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