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Trends in mental health service use by age among adults with serious mental illness.

Annals of Epidemiology 2018 November 30
PURPOSE: This study examines trends in mental health service use among 18- to 64-year-old adults with serious mental illness (SMI).

METHODS: Data are from approximately 22,200 adults with SMI who participated in the National Survey on Drug Use and Health, an annual nationally representative survey of the U.S. civilian, noninstitutionalized population. A regression restricted spline modeled the trend in mental health service use by age among adults with SMI.

RESULTS: Approximately 20 to 50% of adults with SMI did not receive past-year mental health services. The odds of past-year service use increased by 3% per year until age 52 years.

CONCLUSIONS: From age 18 to 52 years, age incrementally increases the likelihood that an adult with SMI makes treatment contact.

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