General Medical and Speciality Mental Health Service use for Major Depression

Using an Epidemiologic Catchment Area sample, this study reviewed factors associated with treatment in the general medical or mental health specialist section or no treatment in a subsample of individuals with current major depression . One-fourth of the sample received no services, over half received care in the general medical sector, & only one-fifth accessed a mental health specialist. Among those receiving any health services, men & respondents reporting suicidal symptoms were at risk of receiving no care, while perceived poor health & a cluster of core depressive symptoms were associated with increased odds of service use. Findings emphasize the need for public health initiatives to improve detection & movement into treatment of those at risk of receiving no care. (67 refs.)