The internet as a setting for mental health service utilisation by young people

2010 ◽  
Vol 192 (S11) ◽  
Author(s):  
Jane M Burns ◽  
Tracey A Davenport ◽  
Lauren A Durkin ◽  
Georgina M Luscombe ◽  
Ian B Hickie
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Young People ◽  
Health Service ◽  
Health Service Utilisation ◽  
The Internet ◽  
Service Utilisation

scholarly journals Trends in mental health service utilisation in immigrant youth in Ontario, Canada, 1996–2012: a population-based longitudinal cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022647 ◽  
Author(s):  
Natasha Ruth Saunders ◽  
Michael Lebenbaum ◽  
Hong Lu ◽  
Therese A Stukel ◽  
Marcelo Luis Urquia ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Acute Care ◽  
Health Service Utilisation ◽  
Service Utilisation ◽  
Recent Immigrants ◽  
Recent Immigrant ◽  
Ed Visits

ObjectiveTo describe trends in mental health service use of youth by immigration status and characteristics.DesignPopulation-based longitudinal cohort study from 1996 to 2012 using linked health and administrative datasets.SettingOntario, Canada.ParticipantsYouth 10–24 years, living in Ontario, Canada.ExposureThe main exposure was immigration status (recent immigrants vs long-term residents). Secondary exposures were region of origin and refugee status.Main outcome measureMental health hospitalisations, emergency department (ED) visits and outpatient visits within consecutive 3-year time periods. Poisson regression models estimated rate ratios (RR).ResultsOver 2.5 million person years per period were included. Rates of recent immigrant mental health service utilisation were at least 40% lower than long-term residents (p<0.0001).Mental health hospitalisation and ED visit rates increased in long-term residents (hospitalisations, RR 1.09 (95% CI 1.08 to 1.09); ED visits, RR 1.15 (1.14 to 1.15)) and recent immigrants (hospitalisations RR 1.05 (1.03 to 1.07); ED visits, RR 1.08 (1.05 to 1.11)). Mental health outpatient visit rates increased in long-term residents (RR 1.03 (1.03 to 1.03)) but declined in recent immigrant (RR 0.94 (0.93 to 0.95)). Comparable divergent trends in acute care and outpatient service use were observed among refugees and across most regions of origin. Recent immigrant acute care use was driven by longer-term refugees (hospitalisations RR 1.12 (1.03 to 1.21); ED visits RR 1.11 (1.02 to 1.20)).ConclusionsMental health service utilisation was lower among recent immigrants than long-term residents. While acute care use is increasing at a faster rate among long-term residents than recent immigrants, the decrease in outpatient mental health visits in immigrants highlights a potential emerging disparity in access to preventative care.

scholarly journals Help-Seeking Patterns Among the General Population in Singapore: Results from the Singapore Mental Health Study 2016

2020 ◽  
Author(s):  
Saleha Shafie ◽  
Mythily Subramaniam ◽  
Edimansyah Abdin ◽  
Janhavi Ajit Vaingankar ◽  
Rajeswari Sambasivam ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Disorders ◽  
Health Service ◽  
Social Services ◽  
Help Seeking ◽  
Population Based ◽  
Health Service Utilisation ◽  
Service Utilisation ◽  
Cross Sectional

Abstract This study aimed to establish lifetime mental health service utilisation among the general population of Singapore. The sociodemographic correlates of those seeking help from different service provider groups and changes in lifetime mental health service utilisation between 2010 and 2016 among those with mental disorders were also explored. A population-based cross-sectional epidemiological household survey of the Singapore resident population aged 18 years and above was conducted from 2016 to 2018, using the World Mental Health Composite International Diagnostic Interview (CIDI) version 3.0. Data from two cross-sectional population-based studies were used for comparison of lifetime mental health service utilisation in 2010 (n = 6616) and 2016 (n = 6126). Chi square test and multiple logistic regression were used to analyse the data. A total of 6126 respondents completed the study in 2016. Overall 9.3% of the total sample, 32.0% of those with mental disorders, and 5.7% of those not meeting criteria for mental disorders, ever sought help for their mental health issues in their lifetime, from any treatment service sectors. Several sociodemographic characteristics were found to be correlated with different service provider groups. There was no change in mental health service utilisation between 2010 and 2016 for all mental disorders included in this study, with the exception of a significant increase in help sought from professionals in social services, among those with alcohol abuse. Even though the overall help-seeking rates are low, it is encouraging that those seeking help did so from mental health professionals and professionals working in the social services.

scholarly journals Using qualitative comparative analysis and theory of change to unravel the effects of a mental health intervention on service utilisation in Nepal

2018 ◽  
Vol 3 (6) ◽  
pp. e001023 ◽  
Author(s):  
Erica Breuer ◽  
Prasansa Subba ◽  
Nagendra Luitel ◽  
Mark Jordans ◽  
Mary De Silva ◽  
...  
Keyword(s):  
Mental Health ◽  
Comparative Analysis ◽  
Mental Health Service ◽  
Health Service ◽  
Qualitative Comparative Analysis ◽  
Health Service Utilisation ◽  
Theory Of Change ◽  
Integrated Analysis ◽  
Service Utilisation ◽  
Community Awareness

BackgroundThe integration of mental health services into primary care is essential to improve the coverage of mental health services in low resource settings, but the evaluation of this remains challenging. We used a programme’s Theory of Change (ToC) as a conceptual framework to determine what combination(s) of conditions at facility and community level influenced the mental health service utilisation as a result of a district mental healthcare plan (MHCP) implemented in Chitwan, Nepal. In addition, we show how qualitative comparative analysis can be used to provide an integrated analysis of data from a ToC.MethodsWe conducted a longitudinal case study of 10 health facilities where the MHCP was implemented. We collected data from all facilities at baseline (October to December 2013) and quarterly following the implementation of the intervention (March 2014 to November 2016). The data were analysed using pooled qualitative comparative analysis in fsQCA V.2.5.ResultsThe following conditions were necessary for high mental health service utilisation: presence of basic and advanced psychosocial care, evidence-based identification and treatment guidelines (WHO mhGAP), referral to tertiary services and the presence of trained female community health volunteers . Two additional combinations of conditions were also identified as sufficient for a high mental health service utilisation: high medication supply, trained facility staff and either the use of a community informant detection tool or having a larger proportion of the community attend community awareness activities.ConclusionsBoth supply-side interventions (formalised approaches to health worker detection and treatment, training of health workers, supervision) and demand-side interventions (community awareness and case finding) are important to integrate mental health in primary care. ToC can be used to provide an integrated analysis of data from a ToC, therefore helping to shed light on the black box of complex multilevel interventions.

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