Mental Health Treatment for Rural Poor and Minorities

农村贫困人口和少数民族的心理健康治疗

• 批准号: 6874861
• 负责人: EMILY Jean HAUENSTEIN
• 金额: $ 24万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-07-01 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6874861
• 关键词: African American; Mexican Americans; anxiety; behavioral /social science research tag; caucasian American; child psychology; clinical research; depression; early experience; health behavior; health care service availability; health care service utilization; health disparity; health services research tag; human data; longitudinal human study; medically underserved population; mental health information system; mental health services; racial /ethnic difference; rural area; socioeconomics

DESCRIPTION (provided by applicant): This three-year study will provide a comprehensive, nationally representative, description of rural mental health care, including access to care, patterns of treatment, and outcomes of care. The study will focus on understanding the particular problems faced by rural African Americans and Mexican Americans, women, and the poor in obtaining mental health treatment. We also will evaluate these relationships using guideline-concordant care as the standard for those with depressive and anxiety disorders. The Behavioral Model of Utilization is used as a framework to understand the complex relationship among environmental factors, population characteristics, services use, and outcomes. The proposed research is organized around three specific aims. First, we will describe variation in the likelihood of mental health treatment with respect to residential, ethnic minority status, poverty, and gender. Our second aim is to understand the role of access in explaining variation in mental health treatment with respect to residential, ethnic minority status, poverty, and gender status. Finally, our third aim is to examine the effect of treatment for depression and anxiety on several outcomes for adults, and parental treatment on child outcomes. Our analysis will use data from four panels of the Medical Expenditure Panel Survey (MEPS) supplemented with information from the National Health Interview Survey. A strength of the proposed research is its use of county-level measures of rurality. Pooled across four years, the MEPS includes approximately 10,000 respondents residing in non-metropolitan areas, offering a unique opportunity to understand variation in mental health treatment across rural subpopulations. The availability of detailed medical histories will allow us to examine use of mental health services over a 2 1/2 year period. The populations studied, ethnic minorities and rural residents, are priority areas for the National Institute of Mental Health. By addressing the pressing need to reduce disparities in mental health care, our research will inform mental health policy with regard to services delivery systems for rural impoverished and minority populations.

描述（由申请人提供）：这项为期三年的研究将提供一个全面的，全国代表性的，农村精神卫生保健的描述，包括获得护理，治疗模式和护理的结果。这项研究将侧重于了解农村非洲裔美国人和墨西哥裔美国人，妇女和穷人在获得心理健康治疗方面面临的特殊问题。我们还将评估这些关系使用指南一致的护理作为标准，为那些抑郁症和焦虑症。利用的行为模式被用作一个框架，以了解环境因素，人口特征，服务使用和结果之间的复杂关系。拟议的研究围绕三个具体目标进行。首先，我们将描述心理健康治疗的可能性与住宅，少数民族地位，贫困和性别的变化。我们的第二个目标是了解访问在解释心理健康治疗方面的住宅，少数民族地位，贫困和性别地位的变化的作用。最后，我们的第三个目标是研究抑郁和焦虑治疗对成人的几种结果的影响，以及父母治疗对儿童结果的影响。我们的分析将使用来自医疗支出小组调查（MEPS）的四个小组的数据，并补充来自全国健康访谈调查的信息。拟议的研究的一个优势是它使用县级农村措施。在四年的时间里，MEPS包括居住在非大都市地区的大约10，000名受访者，为了解农村亚群心理健康治疗的变化提供了独特的机会。提供详细的病史将使我们能够检查在2年半的时间内使用心理健康服务。所研究的人口，即少数民族和农村居民，是国家精神卫生研究所的优先领域。通过解决减少精神卫生保健差距的迫切需要，我们的研究将为农村贫困人口和少数民族人口的服务提供系统提供信息。

项目成果

Race and ethnicity and rural mental health treatment.

种族和民族与农村心理健康治疗。

• DOI: 10.1353/hpu.0.0186
• 发表时间: 2009
• 期刊: Journal of health care for the poor and underserved
• 影响因子: 1.4
• 作者: Petterson,Stephen;Williams,IshanCanty;Hauenstein,EmilyJ;Rovnyak,Virginia;Merwin,Elizabeth
• 通讯作者: Merwin,Elizabeth

Healthcare system use by risky alcohol drinkers: A secondary data analysis.

高风险饮酒者使用医疗保健系统：二次数据分析。

• DOI: 10.1111/j.1745-7599.2010.00500.x
• 发表时间: 2010
• 期刊: Journal of the American Academy of Nurse Practitioners
• 作者: Heise,Barbara