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Documenting Behavioral Health Needs in an Urban Setting.

Darrell Hudson1, Stacey McCrary1, Vithya Murugan2

  • 1Brown School at Washington University in St. Louis, St. Louis, MI, United States.

Frontiers in Public Health
|September 16, 2021
PubMed
Summary

Local communities struggle with behavioral health needs assessments. This study outlines a mixed-methods approach for St. Louis, revealing high needs for depression, alcohol, and drug abuse services, with low treatment rates and provider shortages.

Keywords:
behavioral healthmixed method approachneeds assessmentrace/ethnicurban

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Area of Science:

  • Public Health
  • Health Services Research
  • Mental Health Services

Background:

  • Many local communities lack the resources for comprehensive behavioral health needs assessments.
  • Understanding local behavioral health needs is crucial for effective service planning and resource allocation.

Purpose of the Study:

  • To describe a mixed-methods approach for estimating behavioral health needs in St. Louis, Missouri.
  • To identify prevalent behavioral health conditions and priority populations within the community.

Main Methods:

  • Utilized a mixed-methods approach combining diverse data sources.
  • Included local and state government prevalence estimates, analysis of medical records, and key informant interviews.

Main Results:

  • Depression, alcohol abuse, and drug abuse were the most prevalent behavioral health conditions.
  • Priority populations identified include residents with co-occurring disorders, transitioning youth, and homeless individuals.
  • Low treatment rates were observed relative to identified needs, compounded by provider shortages and high turnover.

Conclusions:

  • The described mixed-methods approach provides a framework for other municipalities to conduct behavioral health needs assessments.
  • Addressing provider shortages and improving treatment access are critical for meeting the identified behavioral health needs.