Patterns and Predictors of Primary Mental Health Service Use Following Bushfire and Flood Disasters
Open Access
- 14 April 2015
- journal article
- research article
- Published by Cambridge University Press (CUP) in Disaster Medicine and Public Health Preparedness
- Vol. 9 (3), 275-282
- https://doi.org/10.1017/dmp.2015.23
Abstract
Objective: To examine patterns and predictors of primary mental health care service use following 2 major Australian natural disaster events.Methods: Utilizing data from a national minimum dataset, descriptive and regression analyses were conducted to identify levels and predictors of the use of the Access to Allied Psychological Services (ATAPS) program over a 2-year period following 2 major Australian bushfire and flood/cyclone disasters.Results: The bushfire disaster resulted in significantly greater and more enduring ATAPS service volume, while service delivery for both disasters peaked in the third quarter. Consumers affected by bushfires (IRR 1.51, 95% CI 1.20–1.89), diagnosed with depression (IRR 2.57, 95% CI 1.60-4.14), anxiety (IRR 2.06, 95% CI 1.21-3.49), or both disorders (IRR 2.15, 95% CI 1.35-3.42) utilized treatment at higher rates.Conclusions: The substantial demand for primary mental health care services following major natural disasters can vary in magnitude and trajectory with disaster type. Disaster-specific ATAPS services provide a promising model to cater for this demand in primary care settings. Disaster type and need-based variables as drivers of ATAPS use intensity indicate an equitable level of service use in line with the program intention. Established service usage patterns can assist with estimating capacity requirements in similar disaster circumstances. (Disaster Med Public Health Preparedness.2015;9:275-282)Keywords
This publication has 26 references indexed in Scilit:
- Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experienceInternational Review of Psychiatry, 2011
- Assessing the Prevalence of Trauma Exposure in Epidemiological SurveysAustralian & New Zealand Journal of Psychiatry, 2011
- Clinical Improvement after Treatment Provided Through the Better Outcomes in Mental Health Care (BOiMHC) Programme: Do Some Patients Show Greater Improvement Than Others?Australian & New Zealand Journal of Psychiatry, 2011
- After the fire: the mental health consequences of fire disastersCurrent Opinion in Psychiatry, 2011
- Utilization of Mental Health Services after DisastersPublished by Cambridge University Press (CUP) ,2009
- Piloting a New Model of Crisis Counseling: Specialized Crisis Counseling Services in Mississippi After Hurricane KatrinaAdministration and Policy in Mental Health and Mental Health Services Research, 2009
- Cognitive Behavioral Therapy for Postdisaster Distress: A Community Based Treatment Program for Survivors of Hurricane KatrinaAdministration and Policy in Mental Health and Mental Health Services Research, 2009
- Use of mental health services among disaster survivorsCurrent Opinion in Psychiatry, 2008
- Primary Care-Led Mental Health Service Reform: An Outline of the Better Outcomes in Mental Health Care InitiativeAustralasian Psychiatry, 2002
- Who Uses Mental Health Services in Australia? An Analysis of Data from the National Survey of Mental Health and WellbeingAustralian & New Zealand Journal of Psychiatry, 2000