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    Mental health service use among those with depression: an exploration using Andersen's Behavioral Model of Health Service Use

    Access Status
    Fulltext not available
    Authors
    Graham, A.
    Hasking, Penelope
    Brooker, J.
    Clarke, D.
    Meadows, G.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Graham, A. and Hasking, P. and Brooker, J. and Clarke, D. and Meadows, G. 2017. Mental health service use among those with depression: an exploration using Andersen's Behavioral Model of Health Service Use. Journal of Affective Disorders. 208: pp. 170-176.
    Source Title
    Journal of Affective Disorders
    DOI
    10.1016/j.jad.2016.08.074
    ISSN
    0165-0327
    School
    School of Psychology and Speech Pathology
    URI
    http://hdl.handle.net/20.500.11937/8268
    Collection
    • Curtin Research Publications
    Abstract

    © 2016 Elsevier B.V.Background Despite positive effects on prognosis, less than half of the people diagnosed with depression access mental health services. Knowledge of what promotes such service use is limited. There is dispute about whether the receipt of mental illness related information encourages or discourages service use among those with depression. Accurate service use models are needed to inform programs designed to facilitate service use by those who would benefit most. We examine the appropriateness of Andersen's Behavioral Model of Health Service Use in this context. Method Data from 451 adults identified through the Australian National Survey of Mental Health and Wellbeing as meeting International Classification of Diseases Ten (ICD-10) criteria for depression were used. Results Confirmatory factor analysis failed to verify Andersen's model. Thus, an empirically derived service use model was developed using exploratory factor analysis and then structural equation modelling. Mental health need was the strongest predictor of service use and the model suggested the importance of social connectedness in promoting service use. Participants who had received helpful mental illness information were significantly more likely to have accessed mental health services than those who had not. Limitations The cross-sectional design and lack of replication preclude definitive conclusions Conclusion Andersen's model is a useful starting point for the exploration of service use among people with depression. It is necessary, however, to develop specific models for this population.

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