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

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dc.contributorBlack, Sheila R.
dc.contributorDautovich, Natalie D.
dc.contributorScogin, Forrest Ray
dc.contributorYerby, Lea G.
dc.contributor.advisorKim, Giyeon
dc.contributor.advisorAllen, Rebecca S.
dc.contributor.authorFord, Katy Lauren
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.date.accessioned2018-12-14T18:12:18Z
dc.date.available2018-12-14T18:12:18Z
dc.date.issued2018
dc.descriptionElectronic Thesis or Dissertationen_US
dc.description.abstractThe 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.en_US
dc.format.extent76 p.
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.otheru0015_0000001_0003128
dc.identifier.otherFord_alatus_0004D_13599
dc.identifier.urihttp://ir.ua.edu/handle/123456789/5260
dc.languageEnglish
dc.language.isoen_US
dc.publisherUniversity of Alabama Libraries
dc.relation.hasversionborn digital
dc.relation.ispartofThe University of Alabama Electronic Theses and Dissertations
dc.relation.ispartofThe University of Alabama Libraries Digital Collections
dc.rightsAll rights reserved by the author unless otherwise indicated.en_US
dc.subjectClinical psychology
dc.titleMental health policy outcomes: an examination of older adults' mental health service use, 2002-2012en_US
dc.typethesis
dc.typetext
etdms.degree.departmentUniversity of Alabama. Department of Psychology
etdms.degree.disciplinePsychology
etdms.degree.grantorThe University of Alabama
etdms.degree.leveldoctoral
etdms.degree.namePh.D.

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