Mental health policy outcomes: an examination of older adults' mental health service use, 2002-2012

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dc.contributor Black, Sheila R.
dc.contributor Dautovich, Natalie D.
dc.contributor Scogin, Forrest Ray
dc.contributor Yerby, Lea G.
dc.contributor.advisor Kim, Giyeon
dc.contributor.advisor Allen, Rebecca S. Ford, Katy Lauren 2018-12-14T18:12:18Z 2018-12-14T18:12:18Z 2018
dc.identifier.other u0015_0000001_0003128
dc.identifier.other Ford_alatus_0004D_13599
dc.description Electronic Thesis or Dissertation
dc.description.abstract The underutilization of mental health services (MHS) by older adults – and especially by racial/ethnic minority elders – is a well-recognized problem. Though several national-level mental health policies have been enacted and implemented over the past decade, rates of underutilization remain high. Guided by the Socio-Ecological Theory of public health policy, we aimed to examine individual- and community-level factors that have fostered the most successful implementations of national mental health policies in recent years. This dissertation conducted a multilevel growth curve analysis in order to examine older adults’ MHS use using a large, nationally-representative panel survey (the Medical Expenditure Panel Survey – Household Component, or MEPS-HC). We considered MHS use in the MEPS-HC for the period of 2002-2012, during which members of MEPS Panels 6-17 provided responses. This analysis revealed that rates of older adults’ MHS use did not increase significantly over our examination period, regardless of race/ethnicity or rurality of location. Only insurance status was a significant predictor of change in MHS use rates over the years 2002-2012. Our findings highlighted several important issues for policy implementation and future research of MHS use and mental health policy, and we make suggestions for ensuring greater efficiency and efficacy of efforts to improve older adults’ MHS use in the coming decade.
dc.format.extent 76 p.
dc.format.medium electronic
dc.format.mimetype application/pdf
dc.language English
dc.language.iso en_US
dc.publisher University of Alabama Libraries
dc.relation.ispartof The University of Alabama Electronic Theses and Dissertations
dc.relation.ispartof The University of Alabama Libraries Digital Collections
dc.relation.hasversion born digital
dc.rights All rights reserved by the author unless otherwise indicated.
dc.subject.other Clinical psychology
dc.title Mental health policy outcomes: an examination of older adults' mental health service use, 2002-2012
dc.type thesis
dc.type text University of Alabama. Department of Psychology Psychology The University of Alabama doctoral Ph.D.

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