Predictors of Mental Health Treatment Seeking and Engagement in a Community Mental Health Center
Predictors of Mental Health Treatment Seeking and Engagement in a Community Mental Health Center
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DOI：
10.1007/s10597-016-0062-y
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发表时间：
2017-07-01
影响因子：
2.7
通讯作者：
Druss, Benjamin G.
中科院分区：
文献类型：
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作者：
Shim, Ruth S.;Compton, Michael T.;Druss, Benjamin G.
行为健康治疗结果的差异是多因素的，但治疗参与和退出治疗往往导致严重精神疾病患者的心理健康结果不平等。酒精和其他物质使用障碍与治疗依从性差和过早停止治疗有关，但很少有研究在主要是非洲裔美国人的严重精神疾病患者样本中检查这些因素。本研究以90名在格鲁吉亚州亚特兰大社区心理健康治疗机构接受治疗的非裔美国人为样本，考察了心理健康治疗参与度和辍学率的预测因素。酒精使用障碍与不太可能参加心理健康随访相关（OR 0.32，95%CI 0.12-0.88）。在患有酒精使用障碍的非裔美国人中，可能需要具体的、有针对性的干预措施，以帮助那些健康状况不佳和坚持治疗的风险极高的人。
Disparities in behavioral health treatment outcomes are multifactorial, but treatment engagement and dropout from treatment often contribute to unequal mental health outcomes in individuals with serious mental illnesses. Alcohol and other substance use disorders have been associated with poor treatment adherence and premature discontinuation of treatment, but few studies have examined these factors in a predominantly African American sample of individuals with serious mental illnesses. This study examined predictors of mental health treatment engagement and dropout in a sample of 90 African American individuals presenting for treatment at a community mental health treatment facility in Atlanta, Georgia. Having an alcohol use disorder was associated with being less likely to attend mental health follow up (OR 0.32, 95% CI 0.12-0.88). Among African American individuals with alcohol use disorders, specific, targeted interventions may be necessary to help reach individuals that are at extremely high risk of poor health and poor adherence to treatment.