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RE-ENGAGEMENT INTO MENTAL HEALTH CARE: A LONGITUDINAL
ANALYSIS OF MECHANISMS TO SERVICE USE FOR PERSONS WITH
PSYCHOLOGICAL DISTRESS
by
Marissa C. Hansen
________________________________________________________________________
A Dissertation Presented to the
FACULTY OF THE USC GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(SOCIAL WORK)
August 2011
Copyright 2011 Marissa C. Hansen
Object Description
| Title | Re-engagement into mental health care: a longitudinal analysis of mechanisms to service use for persons with psychological distress |
| Author | Hansen, Marissa C. |
| Author email | mchansen@usc.edu;mariss2han@aol.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Social Work |
| School | School of Social Work |
| Date defended/completed | 2011-05-11 |
| Date submitted | 2011-08-01 |
| Date approved | 2011-08-01 |
| Restricted until | 2011-08-01 |
| Date published | 2011-08-01 |
| Advisor (committee chair) | Aranda, Maria P. |
| Advisor (committee member) |
Palinkas, Lawrence Silverstein , Merrill |
| Abstract | Objective: The study examines elements of service system and patient level factors individually and their interactions on service use to manage mental health needs for individuals with recurrent episodes of depression. Method: Using data form the 12- month and 57-month follow-up study of the Partners in Care Project (PIC), the study examines direct and moderating effects of reported 12-months social support and treatment satisfaction with the PIC trial on service use for mental health needs at 57- months for an adult sample, minorities and non-Hispanic Whites (n=991). Results: Direct effects were supported for sociocultural and enabling variables. In review of moderation effects, satisfaction and social support at 12-months significantly moderated the relationship between health impairment and service use at 57-months. When accounting for individuals with high health need, satisfaction negatively moderated the relationship with service use, while social support positively moderated the relationship with service use. In the post hoc analysis on individuals with high health need, both moderating effects were maintained but minorities also had significant increased odds of service use when social support was high. Conclusion: Findings inform and extend the understanding of the role of social support and treatment satisfaction on decisions to manage depression over time. Profiling risk factors for under use such as low support for minority populations and those with high health needs assists practitioners in improving screening and outreach to those least likely to seek mental health care independently as episodes reoccur over the life span. |
| Keyword | social work; mental health; healthcare; depression; minorities; social support; treatment satisfaction; acute need |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m |
| Rights | Hansen, Marissa C. |
| Access conditions | The author retains rights to his/her dissertation, thesis or other graduate work according to U.S. copyright law. Electronic access is being provided by the USC Libraries in agreement with the author, as the original true and official version of the work, but does not grant the reader permission to use the work if the desired use is covered by copyright. It is the author, as rights holder, who must provide use permission if such use is covered by copyright. The original signature page accompanying the original submission of the work to the USC Libraries is retained by the USC Libraries and a copy of it may be obtained by authorized requesters contacting the repository e-mail address given. |
| Repository name | University of Southern California Digital Library |
| Repository address | USC Digital Library, University of Southern California, University Park Campus MC 7002, 106 University Village, Los Angeles, California 90089-7002, USA |
| Repository email | cisadmin@usc.edu |
| Archival file | uscthesesreloadpub_Volume71/etd-HansenMari-225.pdf |
Description
| Title | Page 1 |
| Full text | RE-ENGAGEMENT INTO MENTAL HEALTH CARE: A LONGITUDINAL ANALYSIS OF MECHANISMS TO SERVICE USE FOR PERSONS WITH PSYCHOLOGICAL DISTRESS by Marissa C. Hansen ________________________________________________________________________ A Dissertation Presented to the FACULTY OF THE USC GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (SOCIAL WORK) August 2011 Copyright 2011 Marissa C. Hansen |
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