Change in Mental Health Service Delivery Among Blacks, Whites, and Hispanics in the Department of Veterans Affairs |
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| Authors: | Greg A. Greenberg Robert A. Rosenheck |
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| Affiliation: | (1) Department of Psychiatry, Yale University, New Haven, Connecticut;(2) Veterans Affairs Medical Clinic, Northeast Program Evaluation Center, 950 Campbell Avenue, West Haven, CT, 06516;(3) Northeast Program Evaluation Center, West Haven, Connecticut;(4) Yale University Department of Psychiatry and School of Epidemiology and Public Health, New Haven, Connecticut |
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| Abstract: | The authors analyzed changes in access to and use of mental health services by minorities in the Veterans Health Administration during a period of major system change (1995–2001). Blacks had poorer outpatient access than Whites during this period of change, but were not further disadvantaged over time, and their access to care improved relative to Whites on some measures. For Hispanics, there was a trend toward greater inequality in the delivery of outpatient mental health care. These results suggest a need to monitor and address the differential impact on minorities of changes in mental health service delivery. |
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| Keywords: | access mental health minorities race service delivery |
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