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Utilization of Mental Health ServicesII. Mediators of Service Allocation
Gary L. Tischler, MD;
Jerzy E. Henisz, MD;
Jerome K. Myers, PhD;
Philip C. Boswell
Arch Gen Psychiatry. 1975;32(4):416-418.
Abstract
Data were obtained from a mental health survey of a representative sample of 938 adults from a defined geographic area and 808 patients from the same area who were admitted to a community mental health center. Multivariate techniques were used to isolate factors that best predicted mental health center use. The existence of "patienthood" as a dimension of residence-related behavior was confirmed.
Although psychological impairment was predictive of patienthood, other factors including age and familial and social disorganization also acted as mediators of patienthood. Indexes of social status, such as race and social class, did not emerge as major allocative mediators.
Author Affiliations
From the departments of psychiatry (Drs. Tischler and Henisz) and sociology (Dr. Myers), and the Institution for Social and Policy Studies (Drs. Myers and Tischler), Yale University; and the Connecticut Mental Health Center, New Haven (Mr. Boswell).
Footnotes
Accepted for publication Oct 25, 1974.
Reprint requests to the Department of Psychiatry, Yale University School of Medicine, 34 Park St, New Haven, CT 06508 (Dr. Tischler).
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