Abstract
The authors assess the correlates of mental health services utilization (MHS) after a disaster among adults with mental health problems. Data of a three-wave longitudinal study among adult survivors of a fireworks disaster (T1: 2–3 weeks, T2: 18 months, T3: almost 4 years postdisaster) were linked
with their electronic medical records (N =649). Multivariate logistic regression analyses showed that triple comorbidity of PTSD and high levels of anxiety and depression symptoms were positively associated with self-reported MHS utilization at T2 (n =270) and T3 (n =216). Private insurance, predisaster
psychological problems, and relocation were associated with MHS utilization at T2 while female gender, being single, and migrant status was associated with MHS utilization at T3. Receiving treatment at T2 was positively associated with receiving treatment at T3, as opposed to medium optimism at T2.
with their electronic medical records (N =649). Multivariate logistic regression analyses showed that triple comorbidity of PTSD and high levels of anxiety and depression symptoms were positively associated with self-reported MHS utilization at T2 (n =270) and T3 (n =216). Private insurance, predisaster
psychological problems, and relocation were associated with MHS utilization at T2 while female gender, being single, and migrant status was associated with MHS utilization at T3. Receiving treatment at T2 was positively associated with receiving treatment at T3, as opposed to medium optimism at T2.
| Original language | English |
|---|---|
| Pages (from-to) | 1029-1039 |
| Number of pages | 11 |
| Journal | Journal of Traumatic Stress |
| Volume | 20 |
| Publication status | Published - Dec 2007 |