@article{ref1,
title="Mental health service utilization among natural disaster survivors with perceived need for services",
journal="Psychiatric services",
year="2015",
author="Lowe, Sarah R. and Norris, Fran H. and Galea, Sandro",
volume="67",
number="3",
pages="354-357",
abstract="OBJECTIVE: This study explored predisposing, illness-related, and enabling factors as predictors of mental health service use among disaster survivors with perceived need for services. <br><br>METHODS: Participants (N=658) were part of a three-wave, population-based study of Hurricane Ike survivors. At each wave, participants were asked whether they perceived having a need for mental health services, for example, information about stress reactions and medication for emotional problems. Those with perceived need were asked about use of eight services, such as a psychiatrist or physician, to address needs. Generalized estimating equations examined predisposing, illness-related, and enabling factors as predictors of service use among participants with perceived need (N=304). <br><br>RESULTS: More general stressors (predisposing factor) and insurance coverage (enabling factor) predicted service use among participants with perceived need. <br><br>CONCLUSIONS: The results suggest that expanded access to services that do not require insurance coverage could better address survivors' mental health needs after a disaster.<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.201500027",
url="http://dx.doi.org/10.1176/appi.ps.201500027"
}