Barriers to mental health treatment: results from the WHO World Mental Health surveys

BACKGROUND: To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders. METHOD: Data were from the World Health Organization (WHO) World Mental Health (WMH) surveys. Representative household samples were interviewed face to face in 24...

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Autores: Andrade, Laura Helena, Alonso Caballero, Jordi, Kessler, Ronald C.
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2014
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/36522
Acceso en línea:http://hdl.handle.net/10230/36522
http://dx.doi.org/10.1017/S0033291713001943
Access Level:acceso abierto
Palabra clave:Salut mundial
Serveis sanitaris -- Accessibilitat
Assistència psiquiàtrica
Organització Mundial de la Salut
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oai_identifier_str oai:repositori.upf.edu:10230/36522
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Barriers to mental health treatment: results from the WHO World Mental Health surveys
title Barriers to mental health treatment: results from the WHO World Mental Health surveys
spellingShingle Barriers to mental health treatment: results from the WHO World Mental Health surveys
Andrade, Laura Helena
Salut mundial
Serveis sanitaris -- Accessibilitat
Assistència psiquiàtrica
Organització Mundial de la Salut
title_short Barriers to mental health treatment: results from the WHO World Mental Health surveys
title_full Barriers to mental health treatment: results from the WHO World Mental Health surveys
title_fullStr Barriers to mental health treatment: results from the WHO World Mental Health surveys
title_full_unstemmed Barriers to mental health treatment: results from the WHO World Mental Health surveys
title_sort Barriers to mental health treatment: results from the WHO World Mental Health surveys
dc.creator.none.fl_str_mv Andrade, Laura Helena
Alonso Caballero, Jordi
Kessler, Ronald C.
author Andrade, Laura Helena
author_facet Andrade, Laura Helena
Alonso Caballero, Jordi
Kessler, Ronald C.
author_role author
author2 Alonso Caballero, Jordi
Kessler, Ronald C.
author2_role author
author
dc.subject.none.fl_str_mv Salut mundial
Serveis sanitaris -- Accessibilitat
Assistència psiquiàtrica
Organització Mundial de la Salut
topic Salut mundial
Serveis sanitaris -- Accessibilitat
Assistència psiquiàtrica
Organització Mundial de la Salut
description BACKGROUND: To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders. METHOD: Data were from the World Health Organization (WHO) World Mental Health (WMH) surveys. Representative household samples were interviewed face to face in 24 countries. Reasons to initiate and continue treatment were examined in a subsample (n = 63,678) and analyzed at different levels of clinical severity. RESULTS: Among those with a DSM-IV disorder in the past 12 months, low perceived need was the most common reason for not initiating treatment and more common among moderate and mild than severe cases. Women and younger people with disorders were more likely to recognize a need for treatment. A desire to handle the problem on one's own was the most common barrier among respondents with a disorder who perceived a need for treatment (63.8%). Attitudinal barriers were much more important than structural barriers to both initiating and continuing treatment. However, attitudinal barriers dominated for mild-moderate cases and structural barriers for severe cases. Perceived ineffectiveness of treatment was the most commonly reported reason for treatment drop-out (39.3%), followed by negative experiences with treatment providers (26.9% of respondents with severe disorders). CONCLUSIONS: Low perceived need and attitudinal barriers are the major barriers to seeking and staying in treatment among individuals with common mental disorders worldwide. Apart from targeting structural barriers, mainly in countries with poor resources, increasing population mental health literacy is an important endeavor worldwide.
publishDate 2014
dc.date.none.fl_str_mv 2014
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/36522
http://dx.doi.org/10.1017/S0033291713001943
url http://hdl.handle.net/10230/36522
http://dx.doi.org/10.1017/S0033291713001943
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Psychological Medicine. 2014 Apr;44(6):1303-17
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Barriers to mental health treatment: results from the WHO World Mental Health surveysAndrade, Laura HelenaAlonso Caballero, JordiKessler, Ronald C.Salut mundialServeis sanitaris -- AccessibilitatAssistència psiquiàtricaOrganització Mundial de la SalutBACKGROUND: To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders. METHOD: Data were from the World Health Organization (WHO) World Mental Health (WMH) surveys. Representative household samples were interviewed face to face in 24 countries. Reasons to initiate and continue treatment were examined in a subsample (n = 63,678) and analyzed at different levels of clinical severity. RESULTS: Among those with a DSM-IV disorder in the past 12 months, low perceived need was the most common reason for not initiating treatment and more common among moderate and mild than severe cases. Women and younger people with disorders were more likely to recognize a need for treatment. A desire to handle the problem on one's own was the most common barrier among respondents with a disorder who perceived a need for treatment (63.8%). Attitudinal barriers were much more important than structural barriers to both initiating and continuing treatment. However, attitudinal barriers dominated for mild-moderate cases and structural barriers for severe cases. Perceived ineffectiveness of treatment was the most commonly reported reason for treatment drop-out (39.3%), followed by negative experiences with treatment providers (26.9% of respondents with severe disorders). CONCLUSIONS: Low perceived need and attitudinal barriers are the major barriers to seeking and staying in treatment among individuals with common mental disorders worldwide. Apart from targeting structural barriers, mainly in countries with poor resources, increasing population mental health literacy is an important endeavor worldwide.The WHO WMH Survey Initiative is supported by the National Institute of Mental Health (NIMH; R01 MH070884), the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864 and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481). The São Paulo Megacity Mental Health Survey is supported by the State of São Paulo Research Foundation (FAPESP) Thematic Project Grant 03/00 204-3. The ESEMeD project is funded by the European Commission (Contracts QLG5-1999-01 042; SANCO 2 004 123 and EAHC20081308), the Piedmont Region (Italy), Fondo de Investigación Sanitaria, Instituto de Salud Carlos III, Spain (FIS 00/0028), Ministerio de Ciencia y Tecnología, Spain (SAF 2000-158-CE), Departament de Salut, Generalitat de Catalunya, Spain, Instituto de Salud Carlos III (CIBER CB06/02/0046, RETICS RD06/0011 REM-TAP). The World Mental Health Japan (WMHJ) Survey is supported by the Grant for Research on Psychiatric and Neurological Diseases and Mental Health (H13-SHOGAI-023, H14-TOKUBETSU-026, H16-KOKORO-013) from the Japan Ministry of Health, Labor and Welfare. The Lebanese National Mental Health Survey (LEBANON) is supported by the National Institute of Health/Fogarty International Center (R03 TW006481- 01. The Mexican National Comorbidity Survey (MNCS) is supported by The National Institute of Psychiatry Ramon de la Fuente (INPRFMDIES 4280) and by the National Council on Science and Technology (CONACyT-G30544-H). The Ukraine Comorbid Mental Disorders during Periods of Social Disruption (CMDPSD) study was funded by the US National Institute of Mental Health (RO1-MH61905). The US National Comorbidity Survey Replication (NCS-R) is supported by the NIMH (U01-MH60220), the Robert Wood Johnson Foundation (RWJF; Grant044780)Cambridge University Press201920192014info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/36522http://dx.doi.org/10.1017/S0033291713001943reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésPsychological Medicine. 2014 Apr;44(6):1303-17© Cambridge University Press. Andrade LH, Alonso J, Mneimneh Z, Wells JE, Al-Hamzawi A, Borges G et al. Barriers to mental health treatment: results from the WHO World Mental Health surveys. Psychol Med. 2014 Apr; 44(6): 1303-17 is available at http://dx.doi.org/10.1017/S0033291713001943info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/365222026-06-12T07:21:37Z
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