Abstract
The utilization of mental health services is difficult to project for enrolled populations due to limitations on the availability of data and the absence of any analytical frameworks for examining what data are available. Using data obtained primarily for enrolled populations, the use of mental health services is reviewed. Aggregate data indicate that use can range to over 200 visits annually per 1000 persons for enrolled population groups, although much of the historical data do not suggest such high rates. When the data are examined for differences based on specific socioeconomic and organizational characteristics of clients and providers, important differences are observed. Variables such as age, sex, and race as well as the structure of the provider system are predictive of utilization behavior. There largely descriptive results will have to be examined in a multivariate framework, however, as more complex models of utilization are developed for mental health services.
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