{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T08:29:42Z","timestamp":1773304182200,"version":"3.50.1"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The purpose of this study was to identify factors associated with mental health service utilization among adults with head injury with loss of consciousness (LOC) using Andersen\u2019s model of health. This secondary data analysis used the 2011\u20132014 National Health and Nutrition Examination Survey with data collected from 7,399 adults. Binary logistic regression was conducted to determine odds associated with predisposing, enabling, and needs factors on head injury with LOC and mental health service utilization. A total of \u2009948 (12.8 percent) adults 40 years and older self-reported head injury with LOC. Head injury with LOC was higher among men and people with lower income, illicit drug use history, and moderate to severe depression. Mental health service utilization for people with head injury with LOC was lower among older-age adults and those with no health insurance. However, utilization was higher among adults with military service, history of drug use, and moderate to severe depression. Social workers in health care settings play critical roles serving adults with traumatic brain injury (TBI) through mental health and substance use disorder treatment and bridging gaps in service access. Social workers should recognize the complex needs of clients with TBI and factors affecting mental health service use.<\/jats:p>","DOI":"10.1093\/hsw\/hlab005","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T20:12:22Z","timestamp":1615234342000},"page":"125-135","source":"Crossref","is-referenced-by-count":5,"title":["Mental Health Service Utilization among Adults with Head Injury with Loss of Consciousness: Implications for Social Work"],"prefix":"10.1093","volume":"46","author":[{"given":"Kathryn A","family":"Coxe","sequence":"first","affiliation":[{"name":"PhD candidate, College of Social Work, The Ohio State University, Columbus, OH 43210"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guijin","family":"Lee","sequence":"additional","affiliation":[{"name":"postdoctoral fellow, School of Social Work, Wayne State University, Detroit"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Njeri","family":"Kagotho","sequence":"additional","affiliation":[{"name":"associate professor and chief diversity officer, College of Social Work, The Ohio State University, Columbus, OH"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ray","family":"Eads","sequence":"additional","affiliation":[{"name":"PhD candidate, College of Social Work, The Ohio State University, Columbus, OH"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,5,5]]},"reference":[{"key":"2021070821541435900_hlab005-B1","doi-asserted-by":"crossref","first-page":"2548","DOI":"10.1016\/j.apmr.2017.06.007","article-title":"Perception of barriers to the diagnosis and receipt of treatment for neuropsychiatric disturbances after traumatic brain injury","volume":"98","author":"Albrecht","year":"2017","journal-title":"Archives of Physical Medicine and Rehabilitation,"},{"key":"2021070821541435900_hlab005-B2","year":"2017"},{"issue":"4","key":"2021070821541435900_hlab005-B3","doi-asserted-by":"crossref","DOI":"10.1111\/j.1468-0009.2005.00428.x","article-title":"Societal and individual determinants of medical care utilization in the United States","volume":"83","author":"Andersen","year":"2005","journal-title":"Milbank Quarterly,"},{"issue":"2","key":"2021070821541435900_hlab005-B4","article-title":"Effective management of depression in primary care: A review of the literature","volume":"1","author":"Arroll","year":"2017","journal-title":"British Journal of General Practice,"},{"key":"2021070821541435900_hlab005-B5","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/j.emc.2010.03.003","article-title":"Traumatic alterations in consciousness: Traumatic brain injury","volume":"28","author":"Blyth","year":"2010","journal-title":"Emergency Medicine Clinics of North America,"},{"issue":"1","key":"2021070821541435900_hlab005-B6","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1017\/BrImp.2013.5","article-title":"Interventions for substance misuse following TBI: A systematic review","volume":"14","author":"Bogner","year":"2013","journal-title":"Brain Impairment,"},{"key":"2021070821541435900_hlab005-B7","year":"2019"},{"key":"2021070821541435900_hlab005-B8","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1097\/JGP.0b013e3181cc0366","article-title":"Mental health treatment seeking among older adults with depression: The impact of stigma and race","volume":"18","author":"Conner","year":"2010","journal-title":"American Journal of Geriatric Psychiatry,"},{"key":"2021070821541435900_hlab005-B9","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1097\/01.HTR.0000300227.67748.77","article-title":"Initial reliability and validity of the Ohio State University TBI Identification Method","volume":"22","author":"Corrigan","year":"2007","journal-title":"Journal of Head Trauma Rehabilitation,"},{"key":"2021070821541435900_hlab005-B10","doi-asserted-by":"crossref","first-page":"139","DOI":"10.3109\/02699052.2011.648705","article-title":"Lifetime history of traumatic brain injury among persons with substance use disorders","volume":"26","author":"Corrigan","year":"2012","journal-title":"Brain Injury,"},{"key":"2021070821541435900_hlab005-B11","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.15585\/mmwr.mm6846a2","article-title":"Traumatic brain injury\u2013related deaths by race\/ethnicity, sex, intent, and mechanism of injury \u2014United States, 2000\u20132017","volume":"68","author":"Daugherty","year":"2019","journal-title":"Morbidity and Mortality Weekly Report,"},{"key":"2021070821541435900_hlab005-B12","doi-asserted-by":"crossref","first-page":"2514","DOI":"10.1016\/j.apmr.2017.05.019","article-title":"Clinical utility of the Patient Health Questionnaire-9 in the assessment of major depression after broad-spectrum traumatic brain injury","volume":"98","author":"Donders","year":"2017","journal-title":"Archives of Physical Medicine and Rehabilitation,"},{"key":"2021070821541435900_hlab005-B13","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1097\/MLR.0b013e3181cafbe3","article-title":"Predisposing characteristics, enabling resources and need as predictors of utilization and clinical outcomes for veterans receiving mental health services","volume":"48","author":"Fasoli","year":"2010","journal-title":"Medical Care,"},{"key":"2021070821541435900_hlab005-B14","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/B978-0-444-52892-6.00001-5","article-title":"Chapter 1\u2014Epidemiology of traumatic brain injury","volume":"127","author":"Faul","year":"2015","journal-title":"Handbook of Clinical Neurology,"},{"key":"2021070821541435900_hlab005-B15","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1111\/1475-6773.13096","article-title":"Rural-urban disparities in health care costs and health service utilization following pediatric mild traumatic brain injury","volume":"54","author":"Graves","year":"2019","journal-title":"Health Services Research,"},{"key":"2021070821541435900_hlab005-B16","doi-asserted-by":"crossref","first-page":"2071","DOI":"10.1080\/09638288.2016.1217081","article-title":"Living with traumatic brain injury in a rural setting: Supports and barriers across the continuum of care","volume":"39","author":"Harrison","year":"2017","journal-title":"Disability & Rehabilitation,"},{"key":"2021070821541435900_hlab005-B17","first-page":"1","article-title":"National Health and Nutrition Examination Survey: Sample design, 2011-20","volume-title":"Vital and Health Statistics. Series 2, Data Evaluation and Methods Research,","author":"Johnson","year":"2014"},{"key":"2021070821541435900_hlab005-B18","doi-asserted-by":"crossref","first-page":"701","DOI":"10.3109\/02699052.2015.1004646","article-title":"Patterns of post-acute health care utilization after a severe traumatic brain injury: Results from the PariS-TBI cohort","volume":"29","author":"Jourdan","year":"2015","journal-title":"Brain Injury,"},{"key":"2021070821541435900_hlab005-B19","doi-asserted-by":"crossref","first-page":"175","DOI":"10.2147\/PRBM.S113264","article-title":"A narrative literature review of depression following traumatic brain injury: Prevalence, impact, and management challenges","volume":"10","author":"Juengst","year":"2017","journal-title":"Psychology Research and Behavior Management,"},{"key":"2021070821541435900_hlab005-B20","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.brat.2016.06.004","article-title":"Addressing the treatment gap: A key challenge for extending evidence-based psychosocial interventions","volume":"88","author":"Kazdin","year":"2017","journal-title":"Behaviour Research and Therapy,"},{"key":"2021070821541435900_hlab005-B21","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1080\/02699052.2017.1283057","article-title":"Lifetime prevalence of traumatic brain injury in a demographically diverse community sample","volume":"31","author":"Kisser","year":"2017","journal-title":"Brain Injury,"},{"issue":"1","key":"2021070821541435900_hlab005-B22","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1177\/0095327X18761852","article-title":"Race\/ethnicity and traumatic brain injury: Are there disparities in positive screenings and diagnoses among service members returning from Afghanistan and Iraq?","volume":"45","author":"Kysar-Moon","year":"2019","journal-title":"Armed Forces & Society,"},{"key":"2021070821541435900_hlab005-B23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/02699052.2019.1641747","article-title":"Clinical practice guidelines for rehabilitation in traumatic brain injury: A critical appraisal","volume":"33","author":"Lee","year":"2019","journal-title":"Brain Injury,"},{"key":"2021070821541435900_hlab005-B24","first-page":"1","volume-title":"Translational research in traumatic brain injury","author":"Leo","year":"2016"},{"issue":"404","key":"2021070821541435900_hlab005-B25","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1080\/01621459.1988.10478722","article-title":"A test of missing completely at random for multivariate data with missing values","volume":"83","author":"Little","year":"1988","journal-title":"Journal of the American Statistical Association,"},{"key":"2021070821541435900_hlab005-B26","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1080\/00981389.2016.1221871","article-title":"Opportunities for social work under the Affordable Care Act: A call for action","volume":"55","author":"Lynch","year":"2016","journal-title":"Social Work in Health Care,"},{"key":"2021070821541435900_hlab005-B27","doi-asserted-by":"crossref","first-page":"1529","DOI":"10.1089\/neu.2010.1358","article-title":"Traumatic brain injury: A disease process, not an event","volume":"27","author":"Masel","year":"2010","journal-title":"Journal of Neurotrauma,"},{"issue":"3","key":"2021070821541435900_hlab005-B28","doi-asserted-by":"crossref","first-page":"E65","DOI":"10.1097\/HTR.0000000000000249","article-title":"The prevalence of traumatic brain injury among people with co-occurring mental health and substance use disorders","volume":"32","author":"McHugo","year":"2017","journal-title":"Journal of Head Trauma Rehabilitation,"},{"key":"2021070821541435900_hlab005-B29","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1080\/00981389.2012.714447","article-title":"Mild traumatic brain injury: Implications for social work research and practice with civilian and military populations","volume":"52","author":"Moore","year":"2013","journal-title":"Social Work in Health Care,"},{"key":"2021070821541435900_hlab005-B30","year":"2018"},{"key":"2021070821541435900_hlab005-B31","volume-title":"Psychometric theory","author":"Nunnally","year":"1978","edition":"2nd ed"},{"key":"2021070821541435900_hlab005-B32","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1080\/13607860902918231","article-title":"Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults","volume":"13","author":"Pepin","year":"2009","journal-title":"Aging & Mental Health,"},{"key":"2021070821541435900_hlab005-B33","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.1056\/NEJMc1808550","article-title":"Prevalence of self-reported head injury in the United States","volume":"379","author":"Schneider","year":"2018","journal-title":"New England Journal of Medicine,"},{"key":"2021070821541435900_hlab005-B34","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1080\/02699052.2019.1606450","article-title":"Using the OSU TBI-ID method for screening rural, older adults: A mixed methods feasibility study","volume":"33","author":"Schneider-Cline","year":"2019","journal-title":"Brain Injury,"},{"key":"2021070821541435900_hlab005-B35","doi-asserted-by":"crossref","first-page":"1969","DOI":"10.1089\/neu.2015.4252","article-title":"Prevalence of and risk factors for anxiety and depressive disorders after traumatic brain injury: A systematic review","volume":"33","author":"Scholten","year":"2016","journal-title":"Journal of Neurotrauma,"},{"issue":"1","key":"2021070821541435900_hlab005-B36","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1007\/s10182-008-0053-6","article-title":"A Markov chain Monte Carlo algorithm for multiple imputation in large surveys","volume":"92","author":"Schunk","year":"2008","journal-title":"Advances in Statistical Analysis,"},{"key":"2021070821541435900_hlab005-B37","volume-title":"Stata statistical software: Release 15","year":"2017"},{"key":"2021070821541435900_hlab005-B38","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1111\/j.1553-2712.2011.01185.x","article-title":"Logistic regression: A brief primer","volume":"18","author":"Stoltzfus","year":"2011","journal-title":"Academic Emergency Medicine,"},{"key":"2021070821541435900_hlab005-B39","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1177\/0033354916687748","article-title":"Traumatic brain injury incidence, clinical overview, and policies in the U.S. military health system since 2000","volume":"132","author":"Swanson","year":"2017","journal-title":"Public Health Reports,"},{"key":"2021070821541435900_hlab005-B40","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2019.00366","article-title":"The young male syndrome\u2014An analysis of sex, age, risk taking and mortality in patients with severe traumatic brain injuries","volume":"10","author":"Tam\u00e1s","year":"2019","journal-title":"Frontiers in Neurology,"},{"issue":"1","key":"2021070821541435900_hlab005-B41","first-page":"1","article-title":"Traumatic brain injury\u2013related emergency department visits, hospitalizations, and deaths\u2014United States, 2007 and 2013","volume":"66","author":"Taylor","year":"2017","journal-title":"Morbidity and Mortality Weekly Report Surveillance Summaries,"},{"key":"2021070821541435900_hlab005-B42","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.neubiorev.2016.01.005","article-title":"Alcohol abuse after traumatic brain injury: Experimental and clinical evidence","volume":"62","author":"Weil","year":"2016","journal-title":"Neuroscience & Biobehavioral Reviews,"}],"container-title":["Health &amp; Social Work"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/hsw\/article-pdf\/46\/2\/125\/38713890\/hlab005.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/hsw\/article-pdf\/46\/2\/125\/38713890\/hlab005.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T05:43:31Z","timestamp":1625809411000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/hsw\/article\/46\/2\/125\/6268975"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,1]]},"references-count":42,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,5,5]]},"published-print":{"date-parts":[[2021,6,21]]}},"URL":"https:\/\/doi.org\/10.1093\/hsw\/hlab005","relation":{},"ISSN":["0360-7283","1545-6854"],"issn-type":[{"value":"0360-7283","type":"print"},{"value":"1545-6854","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,5,1]]},"published":{"date-parts":[[2021,5,1]]}}}