The Relationship Between Residential Mobility and Behavioral Health Service Use in a National Sample of Adults With Mental Health and/or Substance Abuse Problems

Yeqing Yuan, Jennifer I. Manuel

    Research output: Contribution to journalArticle

    Abstract

    Objective: Individuals with mental health and/or substance abuse problems experience disparities in health care utilization. While previous studies have focused on individual and social determinants of health care use in these populations, few have investigated the role of residential stability, especially in relation to different types of service use (i.e., inpatient vs. outpatient treatment). The present study examined the relationship between residential mobility, defined as the number of residential relocations in the past year, and past-year use of four types of behavioral services (i.e., inpatient and outpatient mental health services, inpatient and outpatient substance abuse services) among a national sample of adults with mental health and/or substance abuse problems. Methods: Data were drawn from the 2011–2014 National Survey of Drug Use and Health (unweighted N = 43,411). Based on prior literature and theory, we hypothesized that individuals who frequently relocate are more likely to use inpatient services and are less likely to use outpatient services. Logistic regression analyses were conducted and all models controlled for predisposing, need, and enabling factors. Results: Compared to individuals who did not move in the past year, those who moved three or more times were more likely to report using inpatient mental health and substance abuse services. The relationship between residential mobility and outpatient mental health and substance use service use is not significant. Conclusions: The findings highlight the importance of understanding housing stability as a predictor factor of service use and access. Future research is needed to shed light on the pathway through which residential mobility affects behavioral health service utilization.

    Original languageEnglish (US)
    Pages (from-to)201-210
    Number of pages10
    JournalJournal of Dual Diagnosis
    Volume14
    Issue number4
    DOIs
    StatePublished - Oct 2 2018

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    Population Dynamics
    Health Services
    Substance-Related Disorders
    Inpatients
    Mental Health
    Outpatients
    Ambulatory Care
    Causality
    Patient Acceptance of Health Care
    Social Determinants of Health
    Mental Health Services
    Logistic Models
    Regression Analysis
    Delivery of Health Care
    Health
    Pharmaceutical Preparations
    Population

    Keywords

    • behavioral service use
    • mental health
    • National Survey of Drug Use and Health
    • Residential mobility
    • substance abuse

    ASJC Scopus subject areas

    • Psychiatry and Mental health

    Cite this

    The Relationship Between Residential Mobility and Behavioral Health Service Use in a National Sample of Adults With Mental Health and/or Substance Abuse Problems. / Yuan, Yeqing; Manuel, Jennifer I.

    In: Journal of Dual Diagnosis, Vol. 14, No. 4, 02.10.2018, p. 201-210.

    Research output: Contribution to journalArticle

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