Race, psychiatric diagnosis, and mental health care utilization in older patients

H. C. Kales, F. C. Blow, C. R. Bingham, J. S. Roberts, L. A. Copeland, A. M. Mellow

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

To evaluate the impact of race on mental health care utilization among older patients within given clinical psychiatric diagnoses, the authors examined a retrospective sample of 23,718 elderly veterans treated in Department of Veterans Affairs inpatient facilities in 1994. Significant racial differences in mental health care utilization found over a subsequent 2-year period were related to outpatient (but not inpatient) care; for instance: 1) African American patients with psychotic disorders had significantly fewer outpatient psychiatric visits; and 2) African American patients with substance abuse disorders had significantly more psychiatric visits than Caucasian patients in their respective groups. Although inpatient utilization appeared to be similar among races, findings related to outpatient utilization may be associated with such factors as compliance, treatment efficacy, access to health care, or possible clinician bias.

Original languageEnglish (US)
Pages (from-to)301-309
Number of pages9
JournalAmerican Journal of Geriatric Psychiatry
Volume8
Issue number4
DOIs
StatePublished - Jan 1 2000
Externally publishedYes

Fingerprint

Patient Acceptance of Health Care
Mental Disorders
Mental Health
Inpatients
Outpatients
Veterans
African Americans
Psychiatry
Health Services Accessibility
Psychotic Disorders
Compliance
Substance-Related Disorders

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

Race, psychiatric diagnosis, and mental health care utilization in older patients. / Kales, H. C.; Blow, F. C.; Bingham, C. R.; Roberts, J. S.; Copeland, L. A.; Mellow, A. M.

In: American Journal of Geriatric Psychiatry, Vol. 8, No. 4, 01.01.2000, p. 301-309.

Research output: Contribution to journalArticle

Kales, H. C. ; Blow, F. C. ; Bingham, C. R. ; Roberts, J. S. ; Copeland, L. A. ; Mellow, A. M. / Race, psychiatric diagnosis, and mental health care utilization in older patients. In: American Journal of Geriatric Psychiatry. 2000 ; Vol. 8, No. 4. pp. 301-309.
@article{1ed6c1bdf481406386211d39675ef2c6,
title = "Race, psychiatric diagnosis, and mental health care utilization in older patients",
abstract = "To evaluate the impact of race on mental health care utilization among older patients within given clinical psychiatric diagnoses, the authors examined a retrospective sample of 23,718 elderly veterans treated in Department of Veterans Affairs inpatient facilities in 1994. Significant racial differences in mental health care utilization found over a subsequent 2-year period were related to outpatient (but not inpatient) care; for instance: 1) African American patients with psychotic disorders had significantly fewer outpatient psychiatric visits; and 2) African American patients with substance abuse disorders had significantly more psychiatric visits than Caucasian patients in their respective groups. Although inpatient utilization appeared to be similar among races, findings related to outpatient utilization may be associated with such factors as compliance, treatment efficacy, access to health care, or possible clinician bias.",
author = "Kales, {H. C.} and Blow, {F. C.} and Bingham, {C. R.} and Roberts, {J. S.} and Copeland, {L. A.} and Mellow, {A. M.}",
year = "2000",
month = "1",
day = "1",
doi = "10.1097/00019442-200011000-00006",
language = "English (US)",
volume = "8",
pages = "301--309",
journal = "American Journal of Geriatric Psychiatry",
issn = "1064-7481",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Race, psychiatric diagnosis, and mental health care utilization in older patients

AU - Kales, H. C.

AU - Blow, F. C.

AU - Bingham, C. R.

AU - Roberts, J. S.

AU - Copeland, L. A.

AU - Mellow, A. M.

PY - 2000/1/1

Y1 - 2000/1/1

N2 - To evaluate the impact of race on mental health care utilization among older patients within given clinical psychiatric diagnoses, the authors examined a retrospective sample of 23,718 elderly veterans treated in Department of Veterans Affairs inpatient facilities in 1994. Significant racial differences in mental health care utilization found over a subsequent 2-year period were related to outpatient (but not inpatient) care; for instance: 1) African American patients with psychotic disorders had significantly fewer outpatient psychiatric visits; and 2) African American patients with substance abuse disorders had significantly more psychiatric visits than Caucasian patients in their respective groups. Although inpatient utilization appeared to be similar among races, findings related to outpatient utilization may be associated with such factors as compliance, treatment efficacy, access to health care, or possible clinician bias.

AB - To evaluate the impact of race on mental health care utilization among older patients within given clinical psychiatric diagnoses, the authors examined a retrospective sample of 23,718 elderly veterans treated in Department of Veterans Affairs inpatient facilities in 1994. Significant racial differences in mental health care utilization found over a subsequent 2-year period were related to outpatient (but not inpatient) care; for instance: 1) African American patients with psychotic disorders had significantly fewer outpatient psychiatric visits; and 2) African American patients with substance abuse disorders had significantly more psychiatric visits than Caucasian patients in their respective groups. Although inpatient utilization appeared to be similar among races, findings related to outpatient utilization may be associated with such factors as compliance, treatment efficacy, access to health care, or possible clinician bias.

UR - http://www.scopus.com/inward/record.url?scp=0033791231&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033791231&partnerID=8YFLogxK

U2 - 10.1097/00019442-200011000-00006

DO - 10.1097/00019442-200011000-00006

M3 - Article

C2 - 11069270

AN - SCOPUS:0033791231

VL - 8

SP - 301

EP - 309

JO - American Journal of Geriatric Psychiatry

JF - American Journal of Geriatric Psychiatry

SN - 1064-7481

IS - 4

ER -