Combined effect of mental disorder and low social support on care service use for mental health problems in the Dutch general population

2002 ◽  
Vol 32 (2) ◽  
pp. 311-323 ◽  
Author(s):  
M. TEN HAVE ◽  
W. VOLLEBERGH ◽  
R. BIJL ◽  
J. ORMEL
Keyword(s):  
Mental Health ◽  
Social Support ◽  
General Population ◽  
Mental Disorder ◽  
Service Utilization ◽  
Service Use ◽  
Mediating Effect ◽  
Mental Health Service Use ◽  
Functional Impairments ◽  
General Population Study

Background. People with a mental disorder have high rates of service utilization for emotional or addiction problems. Little is known about the role of functional impairments and low social support in such service use. This article investigates: (1) whether the presence of multiple functional impairments mediates the link between mental disorder and service use; and (2) whether social support modifies that association.Methods. Data were derived from the Netherlands Mental Health Survey and Incidence Study, NEMESIS, a prospective general population study. Predictors of service use (mental disorder; functional impairments; social support) were recorded in the second wave of the study, and service use in the third wave.Results. Persons with a DSM-III-R disorder and persons with multiple functional impairments were three to seven times as likely to use primary or mental health care. People with low perceived social support were two to three times as likely to use them, and living alone increased the likelihood by 30% to 80%. The effect of mental disorder on service use was mediated by multiple functional impairments. In people with a mental disorder, low levels of social support intensified mental health service use.Conclusion. Service utilization by people with mental problems can be better understood through a model incorporating: (1) independent effects of mental disorder, functional impairments and social support on service use; (2) a mediating effect of multiple functional impairments on the link between mental disorder and service use; and (3) interaction effects of mental disorder and low social support on service use.

The Influence of Social Support, Help-Seeking Attitudes and Help-Seeking Intentions on Older Australians’ use of Mental Health Services for Depression and Anxiety Symptoms

2021 ◽  
pp. 009141502110508
Author(s):  
Susan Jane Bretherton
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Service Use ◽  
Anxiety Symptoms ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Help Seeking Attitudes

This study investigated the influence of predisposing factors (social support, help-seeking attitudes and help-seeking intentions) on older Australian adults’ use of mental health services for depression and/or anxiety symptoms. Participants were 214 older Australian adults (61% female; aged between 60 and 96 years; M  =  75.15 years, SD  =  8.40 years) who completed a self-report questionnaire that measured predisposing factors and lifetime mental health service use for depression and/or anxiety symptoms. Higher levels of social support predicted non-use of mental health services. When this relationship was serially mediated by help-seeking attitudes and help-seeking intentions, it predicted mental health service use for depression and/or anxiety. Older adults are less likely to seek help for depression and/or anxiety symptoms unless members of their social support network encourage positive help-seeking attitudes, which lead to positive help-seeking intentions and the subsequent use of mental health services.

scholarly journals Mental health service use and need for care of Australians without diagnoses of mental disorders: findings from a large epidemiological survey

2017 ◽  
Vol 26 (6) ◽  
pp. 596-606 ◽  
Author(s):  
I. Bobevski ◽  
A. Rosen ◽  
G. Meadows
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Disorder ◽  
Service Use ◽  
Stepped Care ◽  
Mental Health Service Use ◽  
Considerable Proportion ◽  
Treatment Pathways ◽  
Epidemiological Surveys

Aims.While epidemiological surveys worldwide have found a considerable proportion of people using mental health services not to have a diagnosis of a mental disorder, with possible implications of service overuse, other work has suggested that most people without a current diagnosis who used services exhibited other indicators of need. The aims of the present study were, using somewhat different categorisations than previous work, to investigate whether: (1) Australians without a diagnosis of a mental disorder who used mental health services had other indicators of need; and (2) how rate and frequency of service use in Australia related to level of need, then to discuss the findings in light of recent developments in Australian Mental Health Policy and other epidemiological and services research findings.Methods.Data from the Australian National Survey of Mental Health and Wellbeing (NSMHWB) 2007 was analysed.Results.Most people using mental health services had evident indicators of need for mental health care (MHC), and most of those with lower evident levels of need did not make heavy use of services. Only a small proportion of individuals without any disorders or need indicators received MHC (4%). Although this latter group comprises a fair proportion of service users when extrapolating to the Australian population (16%), the vast majority of these individuals only sought brief primary-care or counselling treatment rather than consultations with psychiatrists. Access and frequency of MHC consultations were highest for people with diagnosed lifetime disorders, followed by people with no diagnosed disorders but other need indicators, and least for people with no identified need indicators. Limitations include some disorders not assessed in interview and constraints based on survey size to investigate subgroups defined, for instance, by socioeconomic advantage and disadvantage individually or by characteristics of area.Conclusions.MHC for individuals with no recognised disorders or other reasonable need for such care may be occurring but if so is likely to be an area-specific phenomenon. Rather than revealing a large national pool of treatment resources being expended on the so-called ‘worried well’, the findings suggested a generally appropriate dose–response relationship between need indicators and service use. Definitive ascertainment of area-specific disparities in this national pattern would require a different survey approach. Government proposals for widespread introduction of stepped-care models that may seek to divert patients from existing treatment pathways need to be implemented with care and well informed by local data.

Mental Disorder Comorbidity in Te Rau Hinengaro: The New Zealand Mental Health Survey

2006 ◽  
Vol 40 (10) ◽  
pp. 875-881 ◽  
Author(s):  
Kate M. Scott ◽  
Magnus A. McGee ◽  
Mark A. Oakley Browne ◽  
J. Elisabeth Wells
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Health Service ◽  
Mental Disorder ◽  
Mood Disorders ◽  
Health Survey ◽  
Service Use ◽  
Mental Health Service Use ◽  
Clinical Approach ◽  
Mental Health Survey

Objective: To show the extent and patterning of 12 month mental disorder comorbidity in the New Zealand population, and its association with case severity, suicidality and health service utilization. Method: A nationwide face-to-face household survey was carried out in October 2003 to December 2004 with 12 992 participants aged 16 years and over, achieving a response rate of 73.3%. The measurement of mental disorder was with the World Mental Health Survey Initiative version of the Composite International Diagnostic Interview (CIDI 3.0). Comorbidity was analysed with hierarchy, consistent with a clinical approach to disorder count. Results: Comorbidity occurred among 37% of 12 month cases. Anxiety and mood disorders were most frequently comorbid. Strong bivariate associations occurred between alcohol and drug use disorders and, to a lesser extent, between substance use disorders and some anxiety and mood disorders. Comorbidity was associated with case severity, with suicidal behaviour (especially suicide attempts) and with health sector use (especially mental health service use). Conclusion: The widespread nature of mental disorder comorbidity has implications for the configuration of mental health services and for clinical practice.

scholarly journals Twelve-month mental health service use in six countries of the Americas: A regional report from the World Mental Health Surveys

2019 ◽  
Vol 29 ◽  
Author(s):  
G. Borges ◽  
S. Aguilar-Gaxiola ◽  
L. Andrade ◽  
C. Benjet ◽  
A. Cia ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Utilization ◽  
Service Use ◽  
Public Health Problem ◽  
World Health ◽  
Mental Health Service Use ◽  
World Mental Health ◽  
The World ◽  
Dsm Iv ◽  
Treatment Adequacy

Abstract Aims To provide cross-national data for selected countries of the Americas on service utilization for psychiatric and substance use disorders, the distribution of these services among treatment sectors, treatment adequacy and factors associated with mental health treatment and adequacy of treatment. Methods Data come from data collected from 6710 adults with 12 month mental disorder surveys across seven surveys in six countries in North (USA), Central (Mexico) and South (Argentina, Brazil, Colombia, Peru) America who were interviewed 2001–2015 as part of the World Health Organization (WHO) World Mental Health (WMH) Surveys. DSM-IV diagnoses were made with the WHO Composite International Diagnostic Interview (CIDI). Interviews also assessed service utilization by the treatment sector, adequacy of treatment received and socio-demographic correlates of treatment. Results Little over one in four of respondents with any 12 month DSM-IV/CIDI disorder received any treatment. Although the vast majority (87.1%) of this treatment was minimally adequate, only 35.3% of cases received treatment that met acceptable quality guidelines. Indicators of social-advantage (high education and income) were associated with higher rates of service use and adequacy, but a number of other correlates varied across survey sites. Conclusions These results shed light on an enormous public health problem involving under-treatment of common mental disorders, although the problem is most extreme among people with social disadvantage. Promoting services that are more accessible, especially for those with few resources, is urgently needed.

scholarly journals Social Support and Religion: Mental Health Service Use and Treatment of Schizophrenia

2012 ◽  
Vol 49 (4) ◽  
pp. 444-450 ◽  
Author(s):  
A. Smolak ◽  
R. E. Gearing ◽  
D. Alonzo ◽  
S. Baldwin ◽  
S. Harmon ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use
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