Primary care physicians' and psychiatrists' willingness to refer to religious mental health providers.

Journal Article

BACKGROUND: Recent decades have witnessed some integration of mental health care and religious resources. AIM: We measured primary care physicians' (PCPs) and psychiatrists' knowledge of religious mental health-care providers, and their willingness to refer there. METHODS: A national survey of PCPs and psychiatrists was conducted, using vignettes of depressed and anxious patients. Vignettes included Christian or Jewish patients, who regularly or rarely attended services. We asked whether physicians knew of local religious mental health providers, and whether they would refer patients there. RESULTS: In all, 896/1427 PCPs and 312/487 psychiatrists responded. Half of PCPs (34.1%-44.1%) and psychiatrists (51.4%-56.3%) knew Christian providers; fewer PCPs (8.5%-9.9%) and psychiatrists (15.8%-19.6%) knew Jewish providers. Predictors included the following: patients were Christian (odds ratio (OR) = 2.2-2.9 for PCPs, 2.3-2.4 for psychiatrists), respondents were Christian (OR = 2.1-9.3 for PCPs) and respondents frequently attend services (OR = 3.5-7.0 for PCPs). Two-thirds of PCPs (63.3%-64%) and psychiatrists (48.8%-52.6%) would refer to religious providers. Predictors included the following: patients regularly attend services OR = 1.2 for PCPs, 1.6 for Psychiatrists, depression vignette only), respondents were Christian (OR = 2.8-18.1 for PCPs, 2.3-9.2 for psychiatrists) and respondents frequently attend services (OR = 5.1-6.3 for PCPs). CONCLUSION: Many physicians would refer patients to religious mental health providers. However, less religious PCPs are less knowledgeable about local religious providers.

Full Text

Duke Authors

Cited Authors

  • Lawrence, RE; Rasinski, KA; Yoon, JD; Curlin, FA

Published Date

  • November 2014

Published In

Volume / Issue

  • 60 / 7

Start / End Page

  • 627 - 636

PubMed ID

  • 24296966

Pubmed Central ID

  • 24296966

Electronic International Standard Serial Number (EISSN)

  • 1741-2854

International Standard Serial Number (ISSN)

  • 0020-7640

Digital Object Identifier (DOI)

  • 10.1177/0020764013511066


  • eng