caa a22 4500 445848995 CHVBK 20180317145407.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s10597-010-9320-6 doi (NATIONALLICENCE)springer-10.1007/s10597-010-9320-6 Mental Health Service Utilization Among Patients with Severe Mental Disorders [Elektronische Daten] [Marie-Josée Fleury, Guy Grenier, Jean-Marie Bamvita, Jean Caron] In light of healthcare reforms, the study aims to assess variables associated with mental healthcare service utilization in general and in both primary and specialized care by patients with severe mental disorders (SMD, mainly schizophrenia). The study is based on a sample of 140 patients with SMD from five regions in Quebec (Canada). Variables were organized in accordance with Andersen's conceptual model into four factors: predisposing, enabling, needs, and service utilization. Secondary analyses were also conducted comparing patients who were hospitalized or used emergency rooms (H.ER-Group) with patients who did not use such services (WH.ER-Group). Accessibility of services, continuity of care, and having a case manager appear to be core variables that enable service utilization. Compared with the WH.ER-Group, the H.ER-Group used twice as many services. The study highlights the importance of developing a gamut of coordinated services, easily accessible in local networks, including case managers, family physicians, and shared-care development. Springer Science+Business Media, LLC, 2010 Services utilization nationallicence Primary care nationallicence Specialized services nationallicence Mental disorders (schizophrenia) nationallicence Andersen's conceptual model nationallicence Fleury Marie-Josée Department of Psychiatry, McGill University, Montreal, Canada aut Grenier Guy Douglas Hospital Research Centre, 6875 LaSalle Blvd, H4H 1R3, Montreal, QC, Canada aut Bamvita Jean-Marie Douglas Hospital Research Centre, 6875 LaSalle Blvd, H4H 1R3, Montreal, QC, Canada aut Caron Jean Department of Psychiatry, McGill University, Montreal, Canada aut Community Mental Health Journal Springer US; http://www.springer-ny.com 47/4(2011-08-01), 365-377 0010-3853 47:4<365 2011 47 10597 https://doi.org/10.1007/s10597-010-9320-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10597-010-9320-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fleury Marie-Josée Department of Psychiatry, McGill University, Montreal, Canada aut NATIONALLICENCE 700 1- Grenier Guy Douglas Hospital Research Centre, 6875 LaSalle Blvd, H4H 1R3, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Bamvita Jean-Marie Douglas Hospital Research Centre, 6875 LaSalle Blvd, H4H 1R3, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Caron Jean Department of Psychiatry, McGill University, Montreal, Canada aut NATIONALLICENCE 773 0- Community Mental Health Journal Springer US; http://www.springer-ny.com 47/4(2011-08-01), 365-377 0010-3853 47:4<365 2011 47 10597 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer