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Community Mental Health Journal

, Volume 41, Issue 3, pp 339–344 | Cite as

Compliance with Mental Health and Other Specialty Care Referrals among Medicare/Medicaid Dual Enrollees

  • Ramin Mojtabai
Brief Reports

Abstract

Objectives: To examine and compare non-compliance with mental health and other specialty referrals among low-income elderly.

Methods: A survey of 2,128 community-dwelling elderly assessed mental health and other specialty referral in the past year and compliance with these referrals. Non-compliant participants and those who had encountered difficulties in arranging referral appointments were asked about the barriers.

Results: 16.7% with mental health referrals vs. 4.8% with other specialty referrals did not comply (p < .001). The main reason for non-compliance with mental health referrals was lack of perceived need.

Discussion: Lack of perceived need for professional help is a major barrier to specialty mental health care.

Keywords

mental health referral specialty care referral primary care elderly Medicare/Medicaid dual enrollees. 

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REFERENCES

  1. Cooper-Patrick, L., Gallo, J. J., Powe, N. R., Steinwachs, D. M., Eaton, W. W., Ford, D. E. 1999Mental health service utilization by African Americans and Whites: The Baltimore Epidemiologic Catchment Area follow-upMedical Care3710341045PubMedGoogle Scholar
  2. Gallo, J. J., Marino, S., Ford, D., Anthony, J. C. 1995Filters on the pathway to mental health care, II. Sociodemographic factorsPsychological Medicine2511491160PubMedGoogle Scholar
  3. Glyngdal, P., Sorensen, P., Kistrup, K. 2002Non-compliance in community psychiatry: Failed appointments in the referral system to psychiatric outpatient treatmentNordic Journal of Psychiatry56151156PubMedGoogle Scholar
  4. Krulee, D. A., Hales, R. E. 1988Compliance with psychiatric referrals from a general hospital psychiatry outpatient clinicGeneral Hospital Psychiatry10339345PubMedGoogle Scholar
  5. Mojtabai, R. 1999Datapoints: Prescription patterns for mood and anxiety disorders in a community samplePsychiatric Services501557PubMedGoogle Scholar
  6. Simon, G., Von Korff, M. 1995Results from the Seattle centerUstun, T. B.Sartorius, N. eds. Mental Illness in general health care: An international study. John Wiley & SonsNew YorkGoogle Scholar
  7. Swartz, M. S., Wagner, H. R., Swanson, J. W., Burns, B. J., George, L. K., Padgett, D. K. 1998Administrative update: Utilization of services. I. Comparing use of public and private mental health services: The enduring barriers of race and ageCommunity Mental Health Journal34133144PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Department of PsychiatryBeth Israel Medical CenterNew York

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