Psychiatric Quarterly

, Volume 83, Issue 4, pp 509–519 | Cite as

Racial Comparison of Therapeutic Support, Service Use, and Satisfaction Among Male Outpatients with Severe Mental Illness

  • Jack Tsai
  • Rani A. Desai
  • Robert A. Rosenheck
Original Paper


This study examined racial differences among male outpatients with severe mental illness on therapeutic support, mental health service utilization, and service satisfaction. A total of 530 participants (289 White, 179 Black, and 62 of another race) across three large mental health centers (two state funded and one federally funded) in Connecticut were examined cross-sectionally. No racial differences were found in therapeutic support, and there were essentially no racial differences in service satisfaction. Black clients reported greater use of substance abuse inpatient services than White clients and clients of other racial minorities reported greater use of mental health inpatient services than White clients, but differences were small. These findings suggest there are few racial differences in the reported quality of mental health care and service utilization among male outpatients with severe mental illness. More research is needed on where and under what circumstances health disparities exist.


Serious mental illness Race Psychiatric rehabilitation Community mental health Treatment satisfaction 



This work was supported by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development and the original study was supported by VA HSR&D grant #PR94-002. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government.


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Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2012

Authors and Affiliations

  • Jack Tsai
    • 1
    • 2
  • Rani A. Desai
    • 2
    • 3
  • Robert A. Rosenheck
    • 1
    • 2
    • 4
  1. 1.VA New England Mental Illness Research, Education, and Clinical Center (MIRECC)West HavenUSA
  2. 2.Department of PsychiatryYale UniversityNew HavenUSA
  3. 3.Northeast Program Evaluation CenterWest HavenUSA
  4. 4.Yale School of Public HealthNew HavenUSA

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