TY - JOUR PY - 2009// TI - Factors Predicting Crisis Counselor Referrals to Other Crisis Counseling, Disaster Relief, and Psychological Services: A Cross-Site Analysis of Post-Katrina Programs JO - Administration and policy in mental health A1 - Rosen, Craig S. A1 - Matthieu, Monica M. A1 - Norris, Fran H. SP - 186 EP - 194 VL - 36 IS - 3 N2 - An important aspect of crisis counseling is linking survivors with services for their unmet needs. We examined determinants of referrals for disaster relief, additional crisis counseling, and psychological services in 703,000 crisis counseling encounters 3-18 months after Hurricane Katrina. Referrals for disaster relief were predicted by clients' losses, age (adults rather than children), and urbanicity. Referrals for additional counseling and psychological services were predicted by urbanicity, losses and trauma exposure, prior trauma, and preexisting mental health problems. Counseling and psychological referrals declined over time despite continuing mental health needs. Results confirm large urban-rural disparities in access to services.

Language: en

LA - en SN - 0894-587X UR - http://dx.doi.org/10.1007/s10488-009-0216-0 ID - ref1 ER -