Linda Diem Tran1, Ninez A Ponce2. 1. UCLA Fielding School of Public Health, Department of Health Policy and Management, UCLA Center for Health Policy Research, 10960 Wilshire Blvd, Suite 1550, Los Angeles, CA 90024, (310) 794-0909. 2. UCLA Center for Health Policy Research, California Health Interview Survey, UCLA Center for Global and Immigrant Health, UCLA Fielding School of Public Health, Department of Health Policy and Management.
Abstract
BACKGROUND: Timely and appropriate treatment could help reduce the burden of mental illness. PURPOSE: This study describes mental health services use among Californians with mental health need, highlights underserved populations, and discusses policy opportunities. METHODS: Four years of California Health Interview Survey data (2011, 2012, 2013, 2014) were pooled and weighted to the 2013 population to estimate mental health need and unmet need (n=82,706). Adults with mental health need had "unmet need" if they did not use prescription medication and did not have at least four or more mental health visits in the past year. Multivariable logistic regression analysis was performed to predict the probability adults with mental health need did not receive past-year treatment (n=5,315). RESULTS: Seventy-seven percent of Californians with mental health need received no or inadequate mental health treatment in 2013. Men, Latinos, Asians, young people, older adults, people with less education, uninsured adults, and individuals with limited English proficiency were significantly more likely to have unmet need. Cost of treatment and mental health stigma were common reasons for lack of care. CONCLUSION: Unmet mental health need is predominant in California. Policy recommendations include continued expansion of mental health coverage, early identification, and ensuring that treatment is culturally and linguistically appropriate.
BACKGROUND: Timely and appropriate treatment could help reduce the burden of mental illness. PURPOSE: This study describes mental health services use among Californians with mental health need, highlights underserved populations, and discusses policy opportunities. METHODS: Four years of California Health Interview Survey data (2011, 2012, 2013, 2014) were pooled and weighted to the 2013 population to estimate mental health need and unmet need (n=82,706). Adults with mental health need had "unmet need" if they did not use prescription medication and did not have at least four or more mental health visits in the past year. Multivariable logistic regression analysis was performed to predict the probability adults with mental health need did not receive past-year treatment (n=5,315). RESULTS: Seventy-seven percent of Californians with mental health need received no or inadequate mental health treatment in 2013. Men, Latinos, Asians, young people, older adults, people with less education, uninsured adults, and individuals with limited English proficiency were significantly more likely to have unmet need. Cost of treatment and mental health stigma were common reasons for lack of care. CONCLUSION: Unmet mental health need is predominant in California. Policy recommendations include continued expansion of mental health coverage, early identification, and ensuring that treatment is culturally and linguistically appropriate.
Entities:
Keywords:
barriers to care; mental health need; mental health services use; underserved populations; unmet need
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