In 2012, clinics in Louisville, Kentucky began to use the RHS-15 to screen for mental health issues among refugees. At the same time, mental health outreach programs were developed and implemented by the Mental Health Coordinator. Data from 563 refugee clients referred to the Mental Health Coordinator from 2012 to 2015 was analyzed to examine differences between refugees who accepted referral to community mental health services and those who declined on the variables age, gender, country of origin, time in the U.S., and referral source. Results indicate significant differences with regard to time in the U.S. and referral source. Those more likely to accept services included refugees in the U.S. more than 240 days and those referred by non-clinic sources. Findings improve our understanding of the characteristics of refugees who accept and decline mental health services and support the value of both formal screening and community outreach programs. © 2017, Springer Science+Business Media, LLC.

Screening service utilization Mental health Refugee/s Outreach

refugee mental health service human Refugees middle aged Kentucky statistics and numerical data time factor Time Factors Humans male female patient referral Referral and Consultation Community Mental Health Services adult age sex factor Sex Factors Age Factors patient attitude Patient Acceptance of Health Care