Problem type and referral to HMO mental health treatment

The present study examined the cases of 353 patients seen in the outpatient department of psychiatry at a large west coast HMO. Comparisons were made between self-referred and physician-referred patients in the types of problems presented for treatment. Patients with relationship problems were self-referred more than those with adjustment, anxiety, and mood disorders who were more likely to be physician-referred. HMO patients with a self-referral option appear to enter mental health treatment because of relationship problems at a higher rate than their physician-referred counterparts.