Psychiatric disorder and unmet service needs among welfare clients in a representative payee program

Jovier D. Evans, Dustin Eric Wright, Soren Svanum, Gary R. Bond

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

This study assessed psychiatric problems, needs for psychiatric and social services, and service utilization among clients of a public assistance program. Sixty-five clients were assessed using a structured clinical interview to determine the presence of a psychiatric disorder (using the CIDI-A), extent of social service need, and health-related quality of life (RAND SF-36). Seventy-seven percent of the sample met criteria for at least one current or lifetime psychiatric disorder. Health-related quality of life was substantially below published norms. Most clients reported needing financial, housing, and vocational assistance. Many had contact with mental health services, but few were actually receiving psychiatric treatment. Although many clients were assessed as having serious psychiatric, physical, or social needs, very few were receiving appropriate services for these problems. Findings suggest problems or barriers to the provision of services that need to be investigated among this vulnerable community population.

Original languageEnglish (US)
Pages (from-to)539-548
Number of pages10
JournalCommunity Mental Health Journal
Volume40
Issue number6
DOIs
StatePublished - Dec 1 2004

Fingerprint

Psychiatry
welfare
mobile social services
quality of life
assistance
Psychiatric Social Work
psychiatric treatment
Public Assistance
Quality of Life
health
Mental Health Services
Vulnerable Populations
health service
Social Work
utilization
mental health
housing
contact
Interviews
interview

Keywords

  • community mental health
  • psychiatric comorbidity
  • unmet need

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Psychiatric disorder and unmet service needs among welfare clients in a representative payee program. / Evans, Jovier D.; Wright, Dustin Eric; Svanum, Soren; Bond, Gary R.

In: Community Mental Health Journal, Vol. 40, No. 6, 01.12.2004, p. 539-548.

Research output: Contribution to journalArticle

Evans, Jovier D. ; Wright, Dustin Eric ; Svanum, Soren ; Bond, Gary R. / Psychiatric disorder and unmet service needs among welfare clients in a representative payee program. In: Community Mental Health Journal. 2004 ; Vol. 40, No. 6. pp. 539-548.
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