Access to Mental Healthcare in the 21st Century: An Evolutionary Concept Analysis.

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  • Author(s): Smith-East M;Smith-East M; Conner NE; Conner NE; Neff DF; Neff DF
  • Source:
    Journal of the American Psychiatric Nurses Association [J Am Psychiatr Nurses Assoc] 2022 May-Jun; Vol. 28 (3), pp. 203-215. Date of Electronic Publication: 2021 May 12.
  • Publication Type:
    Journal Article; Review; Research Support, U.S. Gov't, P.H.S.
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Sage Country of Publication: United States NLM ID: 9507418 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5725 (Electronic) Linking ISSN: 10783903 NLM ISO Abbreviation: J Am Psychiatr Nurses Assoc Subsets: MEDLINE
    • Publication Information:
      Publication: 2004- : Thousand Oaks, CA : Sage
      Original Publication: St. Louis, MO : Mosby-Year Book, Inc., c1995-
    • Subject Terms:
      COVID-19* ; Mental Health Services*; Cross-Sectional Studies ; Humans ; Patient Satisfaction ; United States
    • Abstract:
      Background: One of the most important aspects of receiving medical care is access to that care. For people with mental illness who have greater healthcare needs and are at risk for poor health outcomes, reduced access to care constitutes a crisis. While the COVID-19 (coronavirus disease 2019) pandemic continues to affect the United States, specifying what it means to have access to mental healthcare is more critical than ever.
      Aims: The aims of this concept analysis are to review definitions and descriptions of access to mental healthcare in the literature and to synthesize the relevance of these findings to inform future research, theory development, policy, and practice.
      Methods: The concept of access to mental healthcare was analyzed using Rodgers's evolutionary concept analysis method. CINAHL, PsycINFO, and MEDLINE were queried for peer-reviewed articles about access to mental healthcare published from January 2010 to April 2020 ( n = 72). Data were reviewed for concept antecedents, attributes, consequences, surrogate, and related terms.
      Results: Five models of access to mental healthcare were identified, with several antecedents and consequences: utilization, economic loss/gain, incarceration, and patient/provider satisfaction. Cross-sectional and predictive studies highlighted three interrelated attributes: clinical management, healthcare delivery, and connectedness.
      Conclusions: The concept of access to mental healthcare is often used stagnantly across disciplines to create health policies, yet the concept is transformative. Future research requires up-to-date operational definitions of access to mental healthcare to target interdisciplinary approaches.
    • Contributed Indexing:
      Keywords: chronic mental illness; community mental health services; mental health systems; service delivery research
    • Publication Date:
      Date Created: 20210512 Date Completed: 20220517 Latest Revision: 20220922
    • Publication Date:
      20240105
    • Accession Number:
      10.1177/10783903211011672
    • Accession Number:
      33978509