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22 - Utilization of Mental Health Services after Disasters

from Part Five - Interventions And Health Services

Published online by Cambridge University Press:  07 May 2010

By
Jon D. Elhai  and
Julian D. Ford
Edited by
Yuval Neria ,
Sandro Galea  and
Fran H. Norris
Yuval Neria
Affiliation:
Columbia University, New York
Sandro Galea
Affiliation:
University of Michigan, Ann Arbor
Fran H. Norris
Affiliation:
Dartmouth Medical School, New Hampshire
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Summary

This chapter reviews empirical findings on the correlates of mental health care use among disaster victims, organized within the behavioral model of health care use. It presents background literature on correlates of mental health care use among victims of traumatic events and theoretical models used to explain treatment utilization. Evidence from national community samples of civilians and military personnel also supports a relationship between both posttraumatic stress disorder (PTSD) diagnosis and severity with mental health care utilization. Several models explaining health care utilization have been proposed, including the illness behavior model, health belief model, and others, all of which are relevant to mental health care utilization. The chapter also reviews the literature on correlates of mental health care use among disaster-affected persons in particular. The statistical analysis of mental health care utilization data is associated with several issues that are often difficult to overcome, limiting previous investigations' findings.

Keywords

disastermental healthperceived social supportsocial embeddednesspostdisaster social supportreceived social support
Type
Chapter
Information
Mental Health and Disasters , pp. 366 - 384
Publisher: Cambridge University Press
Print publication year: 2009

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