Balancing accessibility and selectivity in 21st century public mental health services: Implications for hard to engage clients

Amy Blank Wilson, Stacey Barrenger, Casey Bohrman, Jeffrey Draine

Research output: Contribution to journalArticle

Abstract

This research highlights the importance of expanding examinations of service accessibility for hard to engage client populations to include assessments of individuals' ability to gain entrance to services and the system's ability to meet the service needs of particular client populations. The results of this research provide a framework to support these examinations. The increasing levels of selectivity and targeting of mental health services to particular client populations found in this study raise fundamental questions about the goals of service accessibility in 21st century public mental health services generally, and for hard-to-engage clients particularly. These findings also point to the need for examinations of the eligibility criteria and gatekeeping mechanism that are used to target services to particular client populations to determine if they are working as intended and to assess what impact these mechanisms have on hard to engage clients' ability to gain entrance to needed services.

Original languageEnglish (US)
Pages (from-to)191-206
Number of pages16
JournalJournal of Behavioral Health Services and Research
Volume40
Issue number2
DOIs
StatePublished - Apr 1 2013

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health

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