Abstract
Objectives: To examine and compare non-compliance with mental health and other specialty referrals among low-income elderly.
Methods: A survey of 2,128 community-dwelling elderly assessed mental health and other specialty referral in the past year and compliance with these referrals. Non-compliant participants and those who had encountered difficulties in arranging referral appointments were asked about the barriers.
Results: 16.7% with mental health referrals vs. 4.8% with other specialty referrals did not comply (p < .001). The main reason for non-compliance with mental health referrals was lack of perceived need.
Discussion: Lack of perceived need for professional help is a major barrier to specialty mental health care.
Similar content being viewed by others
REFERENCES
L. Cooper-Patrick J. J. Gallo N. R. Powe D. M. Steinwachs W. W. Eaton D. E. Ford (1999) ArticleTitleMental health service utilization by African Americans and Whites: The Baltimore Epidemiologic Catchment Area follow-up Medical Care 37 1034–1045 Occurrence Handle1:STN:280:DyaK1Mvlt1Sjsw%3D%3D Occurrence Handle10524370
J. J. Gallo S. Marino D. Ford J. C. Anthony (1995) ArticleTitleFilters on the pathway to mental health care, II. Sociodemographic factors Psychological Medicine 25 1149–1160 Occurrence Handle1:STN:280:BymB38bkvV0%3D Occurrence Handle8637945
P. Glyngdal P. Sorensen K. Kistrup (2002) ArticleTitleNon-compliance in community psychiatry: Failed appointments in the referral system to psychiatric outpatient treatment Nordic Journal of Psychiatry 56 151–156 Occurrence Handle11960569
D. A. Krulee R. E. Hales (1988) ArticleTitleCompliance with psychiatric referrals from a general hospital psychiatry outpatient clinic General Hospital Psychiatry 10 339–345 Occurrence Handle1:STN:280:BiaD3cnhvVw%3D Occurrence Handle3169533
R. Mojtabai (1999) ArticleTitleDatapoints: Prescription patterns for mood and anxiety disorders in a community sample Psychiatric Services 50 1557 Occurrence Handle1:STN:280:DC%2BD3c%2FksFSmug%3D%3D Occurrence Handle10577871
G. Simon M. Von Korff (1995) Results from the Seattle center T. B. Ustun N. Sartorius (Eds) Mental Illness in general health care: An international study. John Wiley & Sons New York
M. S. Swartz H. R. Wagner J. W. Swanson B. J. Burns L. K. George D. K. Padgett (1998) ArticleTitleAdministrative update: Utilization of services. I. Comparing use of public and private mental health services: The enduring barriers of race and age Community Mental Health Journal 34 133–144 Occurrence Handle1:STN:280:DyaK1c3otFClug%3D%3D Occurrence Handle9620158
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mojtabai, R. Compliance with Mental Health and Other Specialty Care Referrals among Medicare/Medicaid Dual Enrollees. Community Ment Health J 41, 339–344 (2005). https://doi.org/10.1007/s10597-005-5006-x
Issue Date:
DOI: https://doi.org/10.1007/s10597-005-5006-x