Barriers to Mental Health Service Use and Predictors of Treatment Drop Out: Racial/Ethnic Variation in a Population-Based Study

Adm Policy Ment Health. 2020 Jul;47(4):606-616. doi: 10.1007/s10488-020-01021-6.

Abstract

This study examines racial/ethnic differences in perceived need for mental health treatment, barriers to treatment receipt, and reasons for dropout. Data are from the Collaborative Psychiatric Epidemiology Studies, a pooled dataset from three U.S. nationally-representative adult samples. Among respondents with a 12-month psychiatric disorder who received no treatment (N = 1417), Asians and Latinos reported lower perceived need than Blacks and Whites, and Latinos reported the fewest attitudinal barriers. Among those with a 12-month disorder who dropped out of treatment, Asians and Latinos gave more reasons for dropping out. Significant interactions of race/ethnicity with other characteristics identified subpopulations with high unmet need.

Keywords: CPES; Disparities; Inequities; Mental health; Race/ethnicity; Services; Treatment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Forecasting
  • Health Surveys
  • Healthcare Disparities / ethnology
  • Humans
  • Interviews as Topic
  • Male
  • Mental Disorders / ethnology*
  • Mental Disorders / therapy
  • Mental Health Services*
  • Middle Aged
  • Patient Acceptance of Health Care*
  • Patient Dropouts / psychology*
  • Qualitative Research
  • United States
  • Young Adult