Behavioral health service use post-jail release and reduced risk of return to jail.

This study examined whether behavioral health service use post-jail release was associated with reduced risk of jail reincarceration. The study sample included 20,615 individuals who had behavioral health diagnoses and were released from the Philadelphia County jail. Using administrative records of the county jail and state-, county-, and Medicaid-funded behavioral health service use from 2010 to 2018, we conducted Cox proportional hazard analyses to estimate the association between behavioral health service use post-jail release and the risk of return to jail within 3 years. Nearly 50% of the sample returned to jail within 3 years. Individuals who used behavioral health services were 26%-38% less likely to return to jail within 3 years than were individuals who did not. The study results suggest that connecting individuals with behavioral health services upon release from jail can reduce the risk of repeated jail incarceration.

The effects of protective factors and adverse childhood experiences on behavioral health services use: Findings from a population-based sample.

Adverse childhood experiences (ACEs) are linked to later life health problems such as behavioral health (BH) service use but less is known about how to counter this association. Using a population based sample of 807 adults, we examined the effects of protective factors in countering this association. ACEs were associated with increased BH service use while protective factors were associated with decreased BH service use. However, no significant interaction effect was found. Research is needed to develop a better measure of protective factors. Social workers need to be aware of ACE prevalence among clients and can foster protective factors.

Behavioral Health Service Use Among Licensed Social Workers: A Qualitative Inquiry.

This paper presents qualitative data collected from 996 licensed social workers in the United States who reported mental health and/or alcohol and other drug problems and indicated the types of services they used to address these issues. Outpatient therapy was the most commonly accessed modality to treat mental health issues. Regarding problems with alcohol and other drugs, self-help groups were the most frequently utilized intervention. Qualitative findings suggest that behavioral health service use has influenced respondents' work with clients, personal and professional development, and career trajectories. Barriers to service use, such as stigma and limited access to care, were also identified. Implications for social work education and professional practice are discussed.

Mental Health Literacy, Stigma, and Behavioral Health Service Use: the Case of Latinx and Non-Latinx Whites.

OBJECTIVES: Two research questions guided this study. What is the difference, if any, between Latinx and non-Latinx Whites (NLWs) in mental health literacy about depression, depression-related stigma, and lifetime history of behavioral health service use? and Does mental health literacy and depression-related stigma mediate the relationship between ethnicity and lifetime history of behavioral health service use? METHOD/DESIGN: Data for this cross-sectional study was collected from a primary care clinic. Participants (N = 271) completed measures on mental health literacy and stigma. RESULTS: Results from a multivariate analysis of covariance revealed that Latinxs had lower levels of mental health literacy, higher levels of stigma, and lower lifetime prevalence rates of behavioral health service use. Results from a path analysis indicated that personal stigma partially mediated the relationship between ethnicity and lifetime history of behavioral health service use. CONCLUSION: Interventions targeting stigma may reduce disparities in behavioral health service utilization.