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’s model of health. This secondary data analysis used the 2011–2014 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 948 (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.

中文翻译：

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头部受伤并丧失意识的成年人的心理健康服务利用：对社会工作的启示

本研究的目的是使用 Andersen 的健康模型确定与头部受伤并失去意识 (LOC) 的成年人的心理健康服务利用相关的因素。该次要数据分析使用了 2011-2014 年全国健康和营养检查调查，其中收集了 7,399 名成年人的数据。进行二元逻辑回归以确定与 LOC 和心理健康服务利用的头部受伤的易感性、促成性和需求因素相关的几率。共有 948 名（12.8%）40 岁及以上的成年人自我报告患有 LOC 的头部受伤。在男性和收入较低、有非法吸毒史和中度至重度抑郁症的人群中，LOC 导致的头部损伤较高。在老年人和没有医疗保险的人群中，患有 LOC 的颅脑损伤患者的心理健康服务利用率较低。然而，服兵役、吸毒史和中度至重度抑郁症的成年人的使用率较高。医疗保健机构的社会工作者通过心理健康和物质使用障碍治疗和弥合服务获取方面的差距，为患有创伤性脑损伤 (TBI) 的成年人提供服务。社会工作者应该认识到 TBI 患者的复杂需求以及影响心理健康服务使用的因素。医疗保健机构的社会工作者通过心理健康和物质使用障碍治疗和弥合服务获取方面的差距，为患有创伤性脑损伤 (TBI) 的成年人提供服务。社会工作者应该认识到 TBI 患者的复杂需求以及影响心理健康服务使用的因素。医疗保健机构的社会工作者通过心理健康和物质使用障碍治疗和弥合服务获取方面的差距，为患有创伤性脑损伤 (TBI) 的成年人提供服务。社会工作者应该认识到 TBI 患者的复杂需求以及影响心理健康服务使用的因素。