OBJECTIVE: The aim of this study was to determine mental health service utilization patterns among @entity1 treated for @entity734 ( @entity734 ) and identify factors associated with patterns of high mental health service use. METHODS: Data were provided by 4447 @entity1 treated for @entity734 in California during 2000-2002 for whom mental health services utilization records were acquired. A latent class model was fitted to @entity1 's high use of services (>6 services/year over 8years). Multinomial logistic regression was used to identify predisposing, enabling, and need factors associated with utilization patterns. RESULTS: In 8years after initiating @entity734 treatment, 50% of @entity1 utilized mental health services. High use probability was consistently low for most @entity1 (76.9%); for others, however, it decreased immediately following @entity734 treatment and then increased over time (8.7%), increased immediately following @entity734 treatment and then decreased (9.3%), or remained consistently high (5.1%). Consistently high services use was negatively associated with marriage (OR 0.60, p<0.05) and employment (OR 0.53, p<0.05) and positively associated with older age (OR 1.04, p<0.001), homelessness (OR 1.68, p<0.05), public assistance (OR 1.76, p<0.01), outpatient @entity734 treatment (OR 3.69, p<0.01), longer @entity734 treatment retention (OR 1.00, p<0.01), treatment desire (ORs 1.46, p<0.001), and co-occurring disorder diagnosis (ORs 2.89-44.93, p<0.001). Up to 29% of @entity1 with co-occurring @entity146 at @entity734 treatment entry did not receive any mental health treatment in the subsequent 8years. CONCLUSIONS: Mental health services utilization patterns among @entity1 treated for @entity734 are heterogeneous and dynamic. Understanding factors related to @entity1 's utilization patterns may aid efforts to optimize care and ensure appropriate use of mental health services.

Heterogeneity of mental health service utilization and high mental health service use among XXXX eight years after initiating substance use disorder treatment.

@entity1 :: ('9606', 'Species') :: ['women'] @entity734 :: ('MESH:D019966', 'Disease') :: ['substance use disorders', 'SUD'] @entity146 :: ('MESH:D001523', 'Disease') :: ['mental health disorders']
@entity1 :: (9606,Species) :: ['women']
