Organizational Context and Provider Perception as Determinants of Mental Health Service Use

Arlene Rubin Stiffman, Catherine Striley, Violet E. Horvath, Eric Hadley-Ives, Michael Polgar, Diane Elze, Richard Pescarino

Research output: Contribution to journalArticlepeer-review

50 Scopus citations


This study refines and tests an individual client model of service use and contrasts it with a model of service provision based on gateway provider perspectives. Structural equation models demonstrate that provider variables account for more service use variation than client variables. The client model accounts for 24% of the variance in service use, while the provider model accounts for 55% of the variance. Youth self-reported mental health was not positively associated with increased services or with provider perception of youth mental health. The provider model demonstrates the critical role played by provider perceptions, which are influenced more by work environment than by client problems.

Original languageEnglish (US)
Pages (from-to)188-204
Number of pages17
JournalJournal of Behavioral Health Services and Research
Issue number2
StatePublished - May 2001

All Science Journal Classification (ASJC) codes

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


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