Depression, service need, and use in vulnerable populations

Health care reform has created opportunities for mental health nurses to de velop innovative health care delivery models to provide integrated behavior al health and primary health care. A community health analysis is one metho d to ensure appropriate services are planned. This study examined the healt h care services most needed and those used by depressed and nondepressed pa rticipants (N = 231), and their satisfaction with these services. Individua l and system characteristics were examined using a framework developed by A nderson and Aday. Significant differences were found between the 2 groups f or predisposing characteristics, enabling characteristics, need for care, s ervice use, and satisfaction with services. Copyright (C) 2000 by W.B. Saunders Company.