Image and cost factors in the choice of mental health-care organizations: A causal model

The importance of image as a determinant of choice has been demonstrated for banks, supermarkets, hospitals and other service organizations, but not in the instance of mental health-care providers. Based on a mail survey of residents of a medium-sized metropolitan area, this study explores the components of image for mental health-care institutions. A causal model is hypothesized and validated, specifying the relationships between preferences towards mental health-care institutions, with image and cost factors as potential determinants. The findings suggest that cost does not play a significant role in the choice of mental health providers, whereas image has a significant impact.