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Deprivation, access and outcomes in health psychology treatment.
- Source :
- Mental Health Review Journal; 2020, Vol. 25 Issue 2, p139-151, 13p
- Publication Year :
- 2020
-
Abstract
- Purpose: Individuals living in areas of higher deprivation are more likely to have requested mental health treatment but are less likely to have received treatment or benefitted from it. Less is known about the extent of access equality and treatment outcomes for individuals with a long-term health condition who experience mental health difficulties. The purpose of this paper is to evaluate the extent to which the neighbourhood Index of Multiple Deprivation predicted access to treatment, appointment attendance, treatment completion and clinical outcomes in a British health psychology clinic. Design/methodology/approach: Retrospective data were used from 479 individuals referred to a health psychology clinic over 12 months. Clinical outcomes were measured using the Clinical Outcomes in Routine Evaluation – Outcome Measure. Patient data were linked with their neighbourhood Index of Multiple Deprivation decile. Data were analysed using correlation, linear regression and Fisher's exact test. Findings: There were no significant associations between deprivation and whether an individual attended assessment, attended treatment or completed treatment or between deprivation and patients' clinical outcomes. Exploratory evidence indicated that individuals from higher deprivation neighbourhoods may be over-represented in clinic referrals, and individuals from lower deprivation neighbourhoods may be under-represented, compared with local population distribution estimates. Originality/value: This evaluation provides insights into treatment outcomes and deprivation in those with physical health difficulties. Further evaluation using a larger sample and comparing referrals with local prevalence estimates of comorbid mental and physical health problems would enable greater confidence in the conclusion that no evidence of inequality on the basis of neighbourhood deprivation was found. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENTAL health services
STATISTICAL correlation
FISHER exact test
HEALTH services accessibility
HEALTH status indicators
LIFE skills
MEDICAL appointments
MEDICAL records
REGRESSION analysis
COMORBIDITY
TREATMENT effectiveness
DISEASE prevalence
RETROSPECTIVE studies
ACQUISITION of data methodology
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 13619322
- Volume :
- 25
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Mental Health Review Journal
- Publication Type :
- Academic Journal
- Accession number :
- 144566216
- Full Text :
- https://doi.org/10.1108/MHRJ-02-2020-0010