Health and social care diversity among individuals with longstanding physical and psychological health problems: Pooled repeated cross sectional analyses

This paper examines differences in health-and-social care utilisation for individuals with physical and/or mental health problems. Logistic regression models are used to determine disparity in the percentage of General Household/Lifestyle Survey participants with physical compared to mental health problems receiving disability benefits or health care services between 2000 and 2011. Our findings of a relative underutilisation of secondary health care combined with a relative overutilization of out-of-work benefits by individuals with mental health problems is novel to the field of rehabilitative health care. These results provide evidence for the previously suspected disparity in health care utilisation of individuals with mental health problems and indicate problems in labour force integration. The findings support the political call for a 'parity of esteem', which, in Britain, was enshrined in the Health and Social Care Act of 2012.

General household survey, General lifestyle survey, Health care, Mental health problems, Parity of esteem, Social care

10.1007/s10597-020-00566-y

0010-3853

978-987

Driessens, Corine

59335f14-4ead-4692-9969-7ed9cc1ccf08

Kingdon, David

14cdc422-10b4-4b2d-88ec-24fde5f4329b

Pilgrim, David

ffa57eb6-b3a2-4642-943a-121399dc402c

Smith, Peter W.F.

961a01a3-bf4c-43ca-9599-5be4fd5d3940

1 July 2020

Driessens, Corine

59335f14-4ead-4692-9969-7ed9cc1ccf08

Kingdon, David

14cdc422-10b4-4b2d-88ec-24fde5f4329b

Pilgrim, David

ffa57eb6-b3a2-4642-943a-121399dc402c

Smith, Peter W.F.

961a01a3-bf4c-43ca-9599-5be4fd5d3940

Driessens, Corine, Kingdon, David, Pilgrim, David and Smith, Peter W.F. (2020) Health and social care diversity among individuals with longstanding physical and psychological health problems: Pooled repeated cross sectional analyses. Community Mental Health Journal, 56 (5), 978-987. (doi:10.1007/s10597-020-00566-y).

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Accepted/In Press date: 30 January 2020

e-pub ahead of print date: 8 February 2020

Published date: 1 July 2020

Additional Information: Funding Information: The work presented in this manuscript was funded by the Economic and Social Research Council (Grant ES/L007517/1) for the Administrative Data Research Centre for England (Director Dr Peter Smith). It contains statistical data from Office for National Statistics (ONS) which is Crown Copyright. The use of the ONS statistical data in this work does not imply the endorsement of the ONS in relation to the interpretation or analysis of the statistical data. This work uses research datasets which may not exactly reproduce National Statistics aggregates. We would like to thank the ONS Newport team for locating the archived GHS data. We would like to thank the SRS team at the ONS in Titchfield for their support and encouragement during this endeavour. Publisher Copyright: © 2020, The Author(s).

Keywords: General household survey, General lifestyle survey, Health care, Mental health problems, Parity of esteem, Social care