Prediction of mental health services use one year after regular referral to specialized care versus referral to stepped collaborative care

Publication Type:

Journal Article


Community Mental Health Journal, Volume 53, p.316-323 (2017)




Collaborative mental health care. Prediction; Mental health services use; Service concept


Referral to collaborative mental health care
within the primary care setting is a service concept that
has shown to be as effective as direct referral to specialized
mental health care for patients with common mental
disorders. Additionally it is more efficient in terms of
lower mental health services use. This post-hoc analysis
examines if treatment intensity during 1-year of follow-up
can be predicted prospectively by baseline characteristics.
With multilevel multivariate regression analyses baseline
characteristics were examined as potential predictors of
visit counts. Results showed that only the enabling factors
service concept and referral delay for treatment had a significant
association with mental health visit counts, when
outcome was dichotomized in five or more visits. Inclusion
of the outcome variable as a count variable confirmed
the predictive value of service concept and referral delay,
but added marital status as a significant predictor. Overall,
enabling factors (service concept and referral delay) seem
to be important and dominant predictors of mental health
services use.