Initiation and use of public mental health services by persons with severe mental illness and limited english proficiency.

Initiation and use of public mental health services by persons with severe mental illness and limited english proficiency. Research Abstract Details 

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Initiation and use of public mental health services by persons with severe mental illness and limited english proficiency. Abstract Text:

Todd P Gilmer,Victoria D Ojeda,David P Folsom,Dahlia Fuentes,Piedad Garcia,Dilip V Jeste,Todd P Gilmer,Victoria D Ojeda,David P Folsom,Dahlia Fuentes,Piedad Garcia,Dilip V Jeste,Todd P Gilmer,Victoria D Ojeda,David P Folsom,Dahlia Fuentes,Piedad Garcia,Dilip V Jeste,

OBJECTIVE: Few studies have examined the effect of limited English proficiency on use of mental health services by persons with mental illness from ethnic minority groups who are uninsured or publicly insured. This study examined how indigent or publicly insured Latino and Asian adults with limited English proficiency initially accessed the public mental health system and how their use of services changed over time compared with English-proficient peers. METHODS: Data from San Diego County for fiscal years 2000-2005 were used to examine point of first contact and use of inpatient, emergency, and outpatient services in the 18 subsequent months among 9,243 clients with a psychiatric diagnosis of schizophrenia, bipolar disorder, or major depression. Multivariate regression models were used to compute standardized estimates of utilization. RESULTS: Latino and Asian clients with limited English proficiency were significantly less likely to first access the system through emergency services and more likely to access the system through outpatient services (p<.001 for each comparison). In two outpatient programs that were focused on delivering services to clients with limited English proficiency, clients had a higher intensity of outpatient service use than clients in clinics that did not have such a focus (p<.05 for each). CONCLUSIONS: The initial pattern of service use was favorable for both groups. However, over time this pattern persisted for Asian clients with limited English proficiency but not for Latino clients with limited English proficiency. Findings suggest that ethnically focused programs may be an effective approach to engaging populations that are underrepresented in the mental health system.

Initiation and use of public mental health services by persons with severe mental illness and limited english proficiency. Publishing Authors By Initials

TP Gilmer,VD Ojeda,DP Folsom,D Fuentes,P Garcia,DV Jeste,TP Gilmer,VD Ojeda,DP Folsom,D Fuentes,P Garcia,DV Jeste,TP Gilmer,VD Ojeda,DP Folsom,D Fuentes,P Garcia,DV Jeste,

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Initiation and use of public mental health services by persons with severe mental illness and limited english proficiency. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Psychiatric services (Washington, D.C.)

VOLUME: 58

Page Numbers: 1555-62

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ISSN: 1075-2730

DAY: 30

MONTH: Dec

YEAR: 2007

Initiation and use of public mental health services by persons with severe mental illness and limited english proficiency. Information

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LANGUAGE: eng

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AFFILIATION: the university, where Ms. Fuentes and Dr. Jeste are affiliated.

Country: United States

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MEDLINETA: Psychiatr Serv

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