Mental Health Services Use Among Disaster Survivors
Author Information
Author(s): den Ouden Dirk-Jan, van der Velden Peter G, Grievink Linda, Morren Mattijn, Dirkzwager Anja JE, Yzermans C Joris
Primary Institution: Netherlands Institute for Health Services Research (NIVEL)
Hypothesis
What factors predict the use of mental health services among survivors of a man-made disaster?
Conclusion
Demographic and disaster-related factors, along with psychological and somatic health problems, predict post-disaster mental health service utilization.
Supporting Evidence
- Younger age, forced relocation, and public insurance were associated with higher MHS utilization.
- Disaster intrusions and avoidance reactions were significant predictors of MHS use.
- Chronic diseases before the disaster predicted MHS utilization after the disaster.
Takeaway
After a disaster, some people need help for their feelings and thoughts. This study found that younger people and those who had injuries or problems before the disaster were more likely to ask for help.
Methodology
The study used electronic medical records and surveys to analyze factors predicting mental health service utilization among disaster survivors.
Potential Biases
Potential selection bias as the sample may not represent all disaster survivors who sought help.
Limitations
The study only included data from one mental health service unit, which may limit the generalizability of the results.
Participant Demographics
Participants were primarily adults aged 18 and older, with a significant proportion being immigrants and publicly insured.
Statistical Information
P-Value
p<0.001
Confidence Interval
CI:1.48–5.53
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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