Exploring online and in-person mental healthcare access and app use in a cohort of people living with disability: results from the 2019 and 2020 California Health Interview Survey

Background: Disability is an increasingly prevalent issue in the United States, which affects over 67 million people. Poor mental health in individuals with disabilities is common; however, access to traditional modes of mental healthcare remains a challenge. Objectives: This study aims to compare use of traditional and online mental healthcare services between people with and without disabilities. Methods: = 44,096) from the 2019-2020 California Health Interview Survey. Mental healthcare access in-person and online, or use of digital technologies for mental healthcare were compared between several disability groups to individuals without disabilities. Results: 15.3% of those in this sample reported being in one of the five reported disability groups: cognition, independent-living, seeing/hearing, self-care or multiple. Individuals with disabilities were 2.80 times more likely to access mental healthcare in-person compared to those without disabilities. Several disability groups had increased odds of accessing mental healthcare online, using online technologies for referrals to mental health professionals and connecting to others with a similar condition online. Conclusions: People with disabilities readily access mental healthcare, in-person and online, and use technologies for broader mental healthcare needs. This study highlights the importance of centering accessibility within health technologies.